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Washington, DC 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

Professionalmedian $45 · 10th–90th $9$1450%5%10%10th90th$45$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
$30.20 / $117.49 / $371.54
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$7.94 / $41.69 / $91.20
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$4.37 / $25.12 / $223.87
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $38.90 / $52.48
CareFirst
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$9.33 / $10.47 / $10.47
CareFirst
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$29.51 / $29.51 / $89.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $26.30 / $177.83
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$5.01 / $6.61 / $79.43
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$13.80 / $20.42 / $134.90
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $102.33 / $102.33
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.88 / $24.55 / $24.55
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$41.69 / $77.62 / $77.62
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $95.50 / $173.78
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$7.94 / $23.44 / $95.50
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.50 / $56.23 / $95.50