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Standard Tissue Specimen Examination

Illinois 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?

$39.81

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $39.81 for this service. Most negotiated rates run $35.48 to $63.10.

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 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $295 · 10th to 90th $78 to $316Professionalmedian $39 · 10th to 90th $26 to $74
$20$50$100$200facility $295professional $39

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
$77.62
Median
$295.12
Typical High
$316.23
Aetna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
Aetna
Setting
Facility
Modifier
TC · Technical part
Typical Low
$87.10
Median
$87.10
Typical High
$87.10
Aetna
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$37.15
Typical High
$70.79
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$9.12
Median
$11.22
Typical High
$33.11
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$23.44
Median
$27.54
Typical High
$54.95
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$19.05
Typical High
$19.05
Ambetter
Setting
Professional
Modifier
26 · Professional part
Typical Low
$4.90
Median
$5.37
Typical High
$14.79
BCBS
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$40.74
Typical High
$66.07
Cigna
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$33.11
Typical High
$70.79
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$5.25
Median
$6.46
Typical High
$18.20
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$14.13
Median
$22.91
Typical High
$53.70
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$75.86
Typical High
$234.42
Hally Health
Setting
Professional
Modifier
26 · Professional part
Typical Low
$12.30
Median
$19.05
Typical High
$141.25
Hally Health
Setting
Professional
Modifier
TC · Technical part
Typical Low
$30.90
Median
$45.71
Typical High
$107.15
Molina
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$66.07
United
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$66.07
Typical High
$204.17
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$8.71
Median
$15.49
Typical High
$57.54
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$21.38
Median
$47.86
Typical High
$138.04

Where Illinois 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.

Illinois· 40th of 51

$39.81

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.