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Kentucky 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 $69 · 10th–90th $14$5370%5%10th90th$69Professionalmedian $30 · 10th–90th $10$890%5%10th90th$30$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
$50.12 / $169.82 / $707.95
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$8.91 / $13.80 / $19.05
Aetna
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$21.88 / $36.31 / $85.11
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $63.10 / $245.47
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$8.32 / $23.44 / $70.79
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$21.88 / $37.15 / $104.71
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $37.15 / $38.02
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$6.92 / $12.59 / $14.45
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.05 / $19.05 / $19.05
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $36.31 / $56.23
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$14.13 / $17.78 / $19.95
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$10.00 / $19.50 / $34.67
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.80 / $38.02 / $53.70
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $29.51 / $51.29
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$95.50 / $95.50 / $95.50
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$2.69 / $12.59 / $17.78
Cigna
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$11.75 / $54.95 / $77.62
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $53.70 / $199.53
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$5.25 / $13.49 / $74.13
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$14.13 / $33.11 / $162.18
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.18 / $19.95 / $33.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $52.48 / $100.00
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$8.32 / $11.75 / $26.92
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$26.30 / $40.74 / $74.13