go back

South Carolina rates for HCPCS 42815

Excision branchial cleft cyst, vestige, or fistula, extending beneath subcutaneous tissues and/or into pharynx

Facilitymedian $4,677 · 10th–90th $646–$17,3780%5%10%10th90th$4,677Professionalmedian $741 · 10th–90th $692–$8710%20%10th90th$741$500.0$1.0K$2.0K$5.0K$10.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$691.83 / $8,912.51 / $18,197.01
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,238.72 / $8,511.38 / $16,982.44
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$371.54 / $812.83 / $3,715.35
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$691.83 / $741.31 / $870.96
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$537.03 / $741.31 / $1,174.90
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,884.03 / $14,791.08 / $25,703.96