go back

California rates for HCPCS 88300

Level I - Surgical pathology, gross examination only

Facilitymedian $35 · 10th–90th $16$1660%10%20%10th90th$35Professionalmedian $14 · 10th–90th $4$500%10%10th90th$14$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
Facility
Modifier
Typical Low / Median / Typical High
$165.96 / $165.96 / $165.96
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $28.18 / $63.10
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$3.02 / $5.13 / $17.38
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$7.94 / $22.91 / $53.70
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $16.22 / $29.51
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$2.19 / $6.92 / $19.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $25.70 / $60.26
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$4.37 / $7.94 / $15.85
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$9.12 / $20.89 / $44.67
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $32.36 / $70.79
Blue Shield
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$11.48 / $14.45 / $29.51
Blue Shield
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$13.49 / $17.38 / $38.02
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29.51 / $29.51 / $29.51
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $14.79 / $46.77
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$2.19 / $2.95 / $11.22
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$5.75 / $11.48 / $35.48
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $21.38 / $28.84
Contra Costa Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$4.90 / $6.61 / $6.76
Contra Costa Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$1.66 / $16.60 / $22.39
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $20.42 / $32.36
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$3.98 / $5.75 / $7.41
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$12.59 / $18.20 / $25.12
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$95.50 / $95.50 / $100.00
Lucent Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $141.25 / $141.25
Lucent Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$91.20 / $91.20 / $91.20
Lucent Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$100.00 / $104.71 / $104.71
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.59 / $25.12 / $40.74
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.51 / $16.22 / $46.77
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$2.19 / $2.82 / $11.22
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$5.75 / $11.22 / $35.48
Sutter Health Plus
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $58.88 / $58.88
Sutter Health Plus
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$16.60 / $16.60 / $16.60
Sutter Health Plus
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$41.69 / $41.69 / $41.69
The Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $17.78 / $23.99
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.39 / $22.39 / $31.62
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $14.45 / $54.95
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$2.57 / $4.37 / $20.89
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$6.76 / $11.22 / $33.11