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Standard Tissue Specimen Examination

Indiana 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?

$35.48

Typical negotiated rate. In Indiana, July 2026.

Insurers have agreed to pay about $35.48 for this service. The price depends on where it is billed: about $35.48 from a physician practice, and about $28.18 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 6 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$35.48$32.36 to $41.69
FacilityA hospital or hospital-owned outpatient department$28.18$14.45 to $38.02

How much rates vary

Facilitymedian $28 · 10th to 90th $10 to $49Professionalmedian $35 · 10th to 90th $30 to $58
$10$20$50$100facility $28professional $35

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$34.67
Typical High
$57.54
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$8.71
Median
$10.47
Typical High
$33.11
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$21.88
Median
$23.44
Typical High
$35.48
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$26.30
Typical High
$38.02
Ambetter
Setting
Professional
Modifier
26 · Professional part
Typical Low
$5.01
Median
$6.76
Typical High
$7.41
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$41.69
Typical High
$56.23
Anthem BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$14.13
Median
$15.49
Typical High
$20.89
Anthem BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$10.00
Median
$28.18
Typical High
$38.90
CareSource
Setting
Facility
Modifier
Global
Typical Low
$10.23
Median
$28.18
Typical High
$38.02
CareSource
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$33.11
Typical High
$47.86
Cigna
Setting
Facility
Modifier
Global
Typical Low
$48.98
Median
$48.98
Typical High
$48.98
Cigna
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$39.81
Typical High
$93.33
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$5.37
Median
$10.72
Typical High
$24.55
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$13.80
Median
$28.84
Typical High
$79.43
United
Setting
Facility
Modifier
Global
Typical Low
$13.18
Median
$19.95
Typical High
$33.11
United
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$50.12
Typical High
$79.43
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$7.08
Median
$13.18
Typical High
$22.39
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$17.78
Median
$37.15
Typical High
$64.57

Where Indiana 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.

Indiana· 49th of 51

$35.48

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.