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South Carolina rates for HCPCS 45397

Laparoscopy, surgical; proctectomy, combined abdominoperineal pull-through procedure (eg, colo-anal anastomosis), with creation of colonic reservoir (eg, J-pouch), with diverting enterostomy, when performed

Facilitymedian $6,761 · 10th–90th $2,344–$24,5470%5%10th90th$6,761Professionalmedian $2,884 · 10th–90th $2,692–$3,3880%20%10th90th$2,884$100.0$500.0$2.0K$10.0K$50.0K

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
$5,888.44 / $13,182.57 / $31,622.78
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,122.02 / $1,122.02 / $1,122.02
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $562.34 / $3,548.13
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,691.53 / $2,884.03 / $3,388.44
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,089.30 / $2,884.03 / $4,365.16
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$707.95 / $5,888.44 / $9,120.11