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Standard Tissue Specimen Examination

Iowa rates for HCPCS 88304

A pathologist examines a surgically removed tissue specimen both visually and under a microscope to reach a diagnosis, at a complexity level typically used for more routine, lower-complexity specimens. The findings are summarized in a written pathology report.

Rates data updated July 2026.

How much does Standard Tissue Specimen Examination cost?

$52.48

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $52.48 for this service. The price depends on where it is billed: about $45.71 from a physician practice, and about $110 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 8 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$45.71$30.20 to $77.62
FacilityA hospital or hospital-owned outpatient department$110$60.26 to $240

How much rates vary

Facilitymedian $110 · 10th to 90th $55 to $2,630Professionalmedian $46 · 10th to 90th $19 to $100
$10$50$200$1Kfacility $110professional $46

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$131.83
Typical High
$2,630.27
Aetna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$16.22
Median
$16.22
Typical High
$16.22
Aetna
Setting
Facility
Modifier
TC · Technical part
Typical Low
$43.65
Median
$83.18
Typical High
$186.21
Aetna
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$64.57
Typical High
$186.21
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$8.32
Median
$10.72
Typical High
$52.48
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$22.39
Median
$26.30
Typical High
$338.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$95.50
Typical High
$95.50
Cigna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$2.63
Median
$12.30
Typical High
$17.38
Cigna
Setting
Facility
Modifier
TC · Technical part
Typical Low
$11.75
Median
$54.95
Typical High
$77.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$81.28
Typical High
$134.90
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$9.12
Median
$20.89
Typical High
$41.69
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$23.44
Median
$60.26
Typical High
$95.50
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$67.61
Typical High
$151.36
Hally Health
Setting
Professional
Modifier
26 · Professional part
Typical Low
$14.79
Median
$19.95
Typical High
$123.03
Hally Health
Setting
Professional
Modifier
TC · Technical part
Typical Low
$26.30
Median
$42.66
Typical High
$74.13
Medica
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$75.86
Typical High
$208.93
Medica
Setting
Facility
Modifier
26 · Professional part
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Medica
Setting
Facility
Modifier
TC · Technical part
Typical Low
$165.96
Median
$165.96
Typical High
$165.96
Medica
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$75.86
Typical High
$363.08
Medica
Setting
Professional
Modifier
26 · Professional part
Typical Low
$11.48
Median
$22.91
Typical High
$190.55
Medica
Setting
Professional
Modifier
TC · Technical part
Typical Low
$26.92
Median
$53.70
Typical High
$269.15
Midlands
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$83.18
Typical High
$204.17
Midlands
Setting
Professional
Modifier
26 · Professional part
Typical Low
$12.88
Median
$20.89
Typical High
$41.69
Midlands
Setting
Professional
Modifier
TC · Technical part
Typical Low
$36.31
Median
$61.66
Typical High
$165.96
Midlands
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$91.20
Midlands
Setting
Professional
Modifier
26 · Professional part
Typical Low
$22.91
Median
$22.91
Typical High
$30.90
Midlands
Setting
Professional
Modifier
TC · Technical part
Typical Low
$52.48
Median
$52.48
Typical High
$60.26
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$38.90
Typical High
$77.62
United
Setting
Facility
Modifier
Global
Typical Low
$23.44
Median
$23.44
Typical High
$23.44
United
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$83.18
Typical High
$239.88
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$11.48
Median
$21.88
Typical High
$75.86
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$26.92
Median
$56.23
Typical High
$194.98
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$85.11
Typical High
$93.33
Wellmark
Setting
Professional
Modifier
26 · Professional part
Typical Low
$18.20
Median
$21.38
Typical High
$23.99
Wellmark
Setting
Professional
Modifier
TC · Technical part
Typical Low
$54.95
Median
$64.57
Typical High
$69.18

Where Iowa sits

The same service costs 3.8 times more in West Virginia than in Alabama. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Iowa· 26th of 51

$52.48

WV $132AL $34.67

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.