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Unlisted Bone, Joint or Muscle Procedure

South Carolina rates for HCPCS 20999

Covers a bone, joint, muscle or tendon procedure that does not match any standard named service. The surgeon submits a written description of exactly what was done and why. Because it stands in for many different operations, what it covers varies from one case to the next.

Rates data updated July 2026.

How much does Unlisted Bone, Joint or Muscle Procedure cost?

$1,950

Typical negotiated rate. In South Carolina, July 2026.

Insurers have agreed to pay about $1,950 for this service. The price depends on where it is billed: about $166 from a physician practice, and about $6,457 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$166$166 to $617
FacilityA hospital or hospital-owned outpatient department$6,457$4,074 to $9,772

How much rates vary

Facilitymedian $6,457 · 10th to 90th $1,820 to $21,878Professionalmedian $166 · 10th to 90th $69 to $617
$50$200$1K$5K$20Kfacility $6,457professional $166

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$4,365.16
Median
$9,120.11
Typical High
$22,908.68
Aetna
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$165.96
Typical High
$616.60
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,951.21
Median
$6,456.54
Typical High
$9,549.93
Cigna
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$891.25
Typical High
$891.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$416.87
Typical High
$416.87
Medcost
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$223.87
Typical High
$371.54
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
United
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$1,122.02
Typical High
$4,677.35

Where South Carolina sits

The same service costs 125.9 times more in New Hampshire than in West Virginia. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

South Carolina· 23rd of 49

$1,950

NH $8,913WV $70.79

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.