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Iowa 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 $68 · 10th–90th $16$5250%10%10th90th$68Professionalmedian $35 · 10th–90th $10$930%5%10th90th$35$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
$60.26 / $67.61 / $524.81
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$16.22 / $16.22 / $16.22
Aetna
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$43.65 / $54.95 / $77.62
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $64.57 / $120.23
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$8.91 / $23.99 / $74.13
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$20.89 / $28.84 / $79.43
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$95.50 / $95.50 / $95.50
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$2.69 / $12.59 / $17.78
Cigna
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$11.75 / $54.95 / $77.62
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $81.28 / $134.90
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$9.12 / $20.89 / $41.69
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$23.44 / $60.26 / $95.50
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $67.61 / $151.36
Hally Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$14.79 / $19.95 / $123.03
Hally Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$26.30 / $42.66 / $74.13
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$46.77 / $75.86 / $208.93
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Medica
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$165.96 / $165.96 / $165.96
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $75.86 / $363.08
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$11.48 / $22.91 / $190.55
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$26.92 / $53.70 / $269.15
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $81.28 / $204.17
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.88 / $20.89 / $41.69
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$36.31 / $60.26 / $165.96
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $75.86 / $91.20
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$22.91 / $22.91 / $30.90
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$52.48 / $52.48 / $60.26
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $38.90 / $77.62
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.44 / $23.44 / $23.44
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $75.86 / $239.88
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$11.48 / $21.88 / $44.67
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$26.92 / $44.67 / $194.98
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $85.11 / $100.00
Wellmark
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$18.62 / $21.88 / $25.70
Wellmark
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$53.70 / $63.10 / $74.13