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South Carolina rates for HCPCS L5637

Addition to lower extremity, below knee (BK), total contact

Rates data updated July 2026.

How much does HCPCS L5637 cost?

$200

Typical negotiated rate. In South Carolina, July 2026.

Insurers have agreed to pay about $200 for this service. The price depends on where it is billed: about $200 from a physician practice, and about $234 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 7 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$200$155 to $257
FacilityA hospital or hospital-owned outpatient department$234$155 to $347

How much rates vary

Facilitymedian $234 · 10th to 90th $155 to $468Professionalmedian $200 · 10th to 90th $155 to $269
$200$500facility $234professional $200

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
$154.88
Median
$154.88
Typical High
$154.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$190.55
Typical High
$257.04
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$263.03
Typical High
$346.74
BCBS
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$316.23
Typical High
$354.81
BCBS
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$316.23
Typical High
$436.52
Cigna
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$234.42
Typical High
$257.04
Cigna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$169.82
Typical High
$478.63
Medcost
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$229.09
Typical High
$245.47
Medcost
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$302.00
Typical High
$616.60
Medcost
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$112.20
Typical High
$112.20
Molina
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$234.42
Typical High
$234.42
United
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$263.03
Typical High
$467.74
United
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$173.78
Typical High
$263.03

Where South Carolina sits

The same service costs 2.7 times more in Hawaii than in Delaware. 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· 47th of 51

$200

HI $490DE $182

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.