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Knee Arthroscopy, Body Removal or Chondroplasty

South Carolina rates for HCPCS G0289

Arthroscopy, knee, surgical, for removal of loose body, foreign body, debridement/shaving of articular cartilage (chondroplasty) at the time of other surgical knee arthroscopy in a different compartment of the same knee

Rates data updated July 2026.

Facilitymedian $891 · 10th–90th $85$24,5470%10%10th90th$891$20.0$100.0$500.0$2.0K$10.0K

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

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$14,125.38
Typical High
$24,547.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$891.25
Typical High
$891.25
Medcost
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$104.71
Typical High
$173.78
United
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$1,174.90
Typical High
$4,677.35