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Insert for Indwelling Tracheo-Esophageal Prosthesis

South Carolina rates for HCPCS L8511

Insert for indwelling tracheo-esophageal prosthesis, with or without valve, replacement only, each

Rates data updated July 2026.

How much does Insert for Indwelling Tracheo-Esophageal Prosthesis cost?

$42.66

Typical negotiated rate. In South Carolina, July 2026.

Insurers have agreed to pay about $42.66 for this service. The price depends on where it is billed: about $41.69 from a physician practice, and about $58.88 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$41.69$38.90 to $66.07
FacilityA hospital or hospital-owned outpatient department$58.88$39.81 to $81.28

How much rates vary

Facilitymedian $59 · 10th to 90th $40 to $112Professionalmedian $42 · 10th to 90th $37 to $66
$20$50$100$200facility $59professional $42

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
$39.81
Median
$39.81
Typical High
$39.81
Aetna
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$39.81
Typical High
$66.07
BCBS
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$81.28
Typical High
$89.13
BCBS
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$66.07
Typical High
$112.20
Cigna
Setting
Facility
Modifier
Global
Typical Low
$19.05
Median
$69.18
Typical High
$77.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$58.88
Typical High
$102.33
Medcost
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$44.67
Medcost
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$66.07
Typical High
$138.04
Medcost
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$25.12
Typical High
$25.70
Molina
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$60.26
United
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$58.88
Typical High
$107.15
United
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$43.65
Typical High
$60.26

Where South Carolina sits

The same service costs 2.3 times more in Wisconsin 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· 46th of 51

$42.66

WI $89.13DE $38.02

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.