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Idaho 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 $447 · 10th–90th $62$6920%10%20%10th90th$447Professionalmedian $29 · 10th–90th $9$790%5%10th90th$29$10.0$20.0$50.0$100.0$200.0$500.0

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
Facility
Modifier
Typical Low / Median / Typical High
$234.42 / $446.68 / $691.83
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$25.12 / $25.12 / $25.12
Aetna
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$61.66 / $478.63 / $741.31
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $64.57 / $87.10
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$7.08 / $16.22 / $46.77
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$18.20 / $47.86 / $61.66
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $79.43 / $85.11
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$19.05 / $21.38 / $22.91
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$51.29 / $58.88 / $61.66
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $33.88
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$9.33 / $9.33 / $9.33
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$22.91 / $22.91 / $24.55
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$41.69 / $97.72 / $512.86
Moda Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$25.12 / $25.12 / $25.12
Moda Health
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$61.66 / $478.63 / $741.31
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $70.79 / $77.62
Moda Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.47 / $16.98 / $25.12
Moda Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$38.90 / $53.70 / $61.66
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $33.11
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $75.86 / $75.86
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$19.05 / $19.50 / $19.50
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$51.29 / $56.23 / $56.23
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $38.02 / $104.71
Select Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.00 / $10.23 / $28.18
Select Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$27.54 / $28.18 / $77.62
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $37.15 / $58.88
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$6.46 / $7.08 / $17.38
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$17.78 / $30.20 / $41.69