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Lower Extremity and Humerus Procedures (without CC/MCC)

South Carolina rates for MS-DRG 494

Lower Extremity and Humerus Procedures Except Hip, Foot, Femur without CC/MCC

Rates data updated July 2026.

How much does Lower Extremity and Humerus Procedures (without CC/MCC) cost?

$32,359

Typical facility fee. In South Carolina, July 2026.

Insurers have agreed to pay about $32,359 for this service. Most negotiated rates run $24,547 to $47,863.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $32,359 · 10th to 90th $14,791 to $75,858
$10K$20K$50K$100Kfacility $32,359

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
$24,547.09
Median
$47,863.01
Typical High
$91,201.08
BCBS
Setting
Facility
Modifier
Global
Typical Low
$12,589.25
Median
$25,703.96
Typical High
$41,686.94
Cigna
Setting
Facility
Modifier
Global
Typical Low
$22,908.68
Median
$35,481.34
Typical High
$60,255.96
United
Setting
Facility
Modifier
Global
Typical Low
$16,982.44
Median
$44,668.36
Typical High
$79,432.82

Where South Carolina sits

The same service costs 3.0 times more in Colorado than in New Mexico. 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· 24th of 51

$32,359

CO $48,978NM $16,218

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.