go back

ArthroFlex

South Carolina rates for HCPCS Q4125

ArthroFlex, per sq cm (add-on, list separately in addition to primary procedure)

Rates data updated October 2026.

How much does ArthroFlex cost?

$126

Typical negotiated rate. In South Carolina, October 2026.

Insurers have agreed to pay about $126 for this service. The price depends on where it is billed: about $126 from a physician practice, and about $170 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$126$126 to $148
FacilityA hospital or hospital-owned outpatient department$170$151 to $240

How much rates vary

Facilitymedian $170 · 10th to 90th $145 to $302Professionalmedian $126 · 10th to 90th $117 to $148
$50$100$200facility $170professional $126

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$138.04
Median
$138.04
Typical High
$138.04
Aetna
Setting
Professional
Modifier
None
Typical Low
$138.04
Median
$138.04
Typical High
$138.04
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$69.18
Median
$69.18
Typical High
$69.18
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$27.54
Median
$27.54
Typical High
$27.54
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$20.89
Median
$20.89
Typical High
$20.89
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$13.80
Median
$13.80
Typical High
$13.80
BCBS South Carolina
Setting
Professional
Modifier
None
Typical Low
$117.49
Median
$147.91
Typical High
$147.91
Cigna
Setting
Facility
Modifier
None
Typical Low
$144.54
Median
$177.83
Typical High
$309.03
Cigna
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Medcost
Setting
Facility
Modifier
None
Typical Low
$131.83
Median
$138.04
Typical High
$186.21
Medcost
Setting
Professional
Modifier
None
Typical Low
$151.36
Median
$177.83
Typical High
$204.17
Molina
Setting
Professional
Modifier
None
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
United
Setting
Professional
Modifier
None
Typical Low
$107.15
Median
$125.89
Typical High
$125.89

Where South Carolina sits

The same service costs 5.9 times more in North Dakota than in New York. 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· 26th of 51

$126

ND $224NY $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.