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Kansas 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 $102 · 10th–90th $38–$2040%20%40%10th90th$102Professionalmedian $35 · 10th–90th $11–$760%5%10th90th$35$5.0$10.0$20.0$50.0$100.0$200.0

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
$102.33 / $102.33 / $204.17
Aetna
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$102.33 / $102.33 / $102.33
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $64.57 / $151.36
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$8.91 / $17.78 / $54.95
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$21.88 / $47.86 / $64.57
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $19.05 / $41.69
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$4.90 / $10.00 / $16.60
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$27.54 / $27.54 / $27.54
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $66.07 / $66.07
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $40.74 / $120.23
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$5.37 / $11.22 / $45.71
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$13.80 / $29.51 / $74.13
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36.31 / $52.48 / $95.50
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $58.88 / $363.08
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.72 / $16.22 / $190.55
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$17.78 / $50.12 / $269.15
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.92 / $19.95 / $26.92
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $45.71 / $61.66
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$7.08 / $12.02 / $16.60
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$17.78 / $33.11 / $50.12