go back

South Carolina rates for HCPCS 88304

Level III - Surgical pathology, gross and microscopic examination Abortion, induced Abscess Aneurysm - arterial/ventricular Anus, tag Appendix, other than incidental Artery, atheromatous plaque Bartholin's gland cyst Bone fragment(s), other than pathologic fracture Bursa/synovial cyst Carpal tunnel tissue Cartilage, shavings Cholesteatoma Colon, colostomy stoma Conjunctiva - biopsy/pterygium Cornea Diverticulum - esophagus/small intestine Dupuytren's contracture tissue Femoral head, other than fracture Fissure/fistula Foreskin, other than newborn Gallbladder Ganglion cyst Hematoma Hemorrhoids Hydatid of Morgagni Intervertebral disc Joint, loose body Meniscus Mucocele, salivary Neuroma - Morton's/traumatic Pilonidal cyst/sinus Polyps, inflammatory - nasal/sinusoidal Skin - cyst/tag/debridement Soft tissue, debridement Soft tissue, lipoma Spermatocele Tendon/tendon sheath Testicular appendage Thrombus or embolus Tonsil and/or adenoids Varicocele Vas deferens, other than sterilization Vein, varicosity

Facilitymedian $39 · 10th–90th $31–$810%20%40%10th90th$39Professionalmedian $35 · 10th–90th $10–$1260%10%10th90th$35$0.1$0.5$2.0$10.0$50.0$200.0

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
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $36.31 / $112.20
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$8.51 / $23.44 / $138.04
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$21.38 / $28.84 / $54.95
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $38.02 / $38.02
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.00 / $10.23 / $11.75
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$28.18 / $28.18 / $28.18
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $40.74 / $83.18
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.00 / $53.70 / $75.86
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$21.38 / $28.18 / $30.20
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $27.54 / $74.13
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$4.90 / $5.75 / $30.20
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$13.18 / $21.88 / $63.10
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.90 / $38.90 / $81.28
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $32.36 / $39.81
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $42.66 / $138.04
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$6.31 / $12.02 / $57.54
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$17.38 / $29.51 / $104.71