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Connecticut 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 $40 · 10th–90th $40–$450%20%40%90th$40Professionalmedian $38 · 10th–90th $10–$1230%5%10th90th$38$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $81.28 / $346.74
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$8.91 / $30.90 / $85.11
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$16.22 / $30.20 / $91.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $85.11 / $134.90
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$9.12 / $16.60 / $29.51
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$23.99 / $67.61 / $87.10
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$39.81 / $39.81 / $39.81
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $45.71 / $91.20
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$5.89 / $12.88 / $26.92
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$16.60 / $33.11 / $66.07
ConnectiCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $52.48 / $102.33
ConnectiCare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.96 / $30.20 / $46.77
ConnectiCare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$20.42 / $48.98 / $77.62
Health New England
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$44.67 / $44.67 / $44.67
Health New England
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $38.02 / $147.91
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $48.98 / $125.89
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$7.94 / $16.98 / $46.77
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$25.12 / $34.67 / $81.28