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Illinois 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 $288 · 10th–90th $30–$3160%20%40%10th90th$288Professionalmedian $35 · 10th–90th $10–$1150%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
$77.62 / $295.12 / $316.23
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$30.20 / $30.20 / $30.20
Aetna
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$87.10 / $87.10 / $87.10
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $57.54 / $218.78
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$8.91 / $23.99 / $79.43
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$22.91 / $30.20 / $109.65
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $19.05 / $19.50
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$5.01 / $6.17 / $15.14
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $41.69 / $66.07
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $33.11 / $70.79
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$5.25 / $6.46 / $18.20
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$14.13 / $23.44 / $53.70
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $75.86 / $234.42
Hally Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.30 / $19.05 / $141.25
Hally Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$30.90 / $45.71 / $107.15
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $32.36 / $33.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $61.66 / $114.82
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$7.41 / $12.59 / $51.29
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.05 / $42.66 / $89.13