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Colorado 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 $33 · 10th–90th $8–$2140%5%10%10th90th$33Professionalmedian $40 · 10th–90th $9–$1480%5%10th90th$40$2.0$10.0$50.0$200.0$1.0K

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
$33.11 / $48.98 / $81.28
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$8.32 / $12.30 / $14.13
Aetna
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$24.55 / $37.15 / $213.80
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $87.10 / $346.74
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$8.91 / $34.67 / $85.11
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$18.20 / $28.84 / $66.07
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $44.67 / $91.20
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$11.22 / $11.22 / $22.91
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$33.11 / $33.11 / $67.61
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $32.36 / $77.62
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$4.79 / $9.33 / $26.30
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$14.45 / $22.91 / $53.70
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $60.26 / $60.26
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$14.79 / $14.79 / $14.79
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$45.71 / $45.71 / $45.71
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $43.65 / $69.18
Select Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.23 / $10.96 / $19.50
Select Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$28.18 / $32.36 / $51.29
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $52.48 / $97.72
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$6.46 / $18.20 / $30.20
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$17.78 / $33.11 / $69.18