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Massachusetts 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 $68 · 10th–90th $15$950%20%10th90th$68Professionalmedian $38 · 10th–90th $11$1100%5%10th90th$38$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
$91.20 / $93.33 / $95.50
Aetna
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$95.50 / $95.50 / $95.50
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $57.54 / $213.80
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$8.91 / $25.70 / $75.86
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$21.38 / $41.69 / $91.20
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$263.03 / $263.03 / $263.03
AllWays Health Partners
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$190.55 / $190.55 / $190.55
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $77.62 / $371.54
AllWays Health Partners
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$8.32 / $22.39 / $199.53
AllWays Health Partners
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$30.20 / $66.07 / $275.42
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$72.44 / $72.44 / $72.44
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $89.13 / $120.23
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.59 / $21.88 / $28.84
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$39.81 / $67.61 / $91.20
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $36.31 / $93.33
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$5.75 / $10.96 / $23.44
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$18.20 / $30.20 / $75.86
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.88 / $43.65 / $72.44
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $43.65 / $72.44
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $87.10 / $123.03
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.30 / $21.38 / $29.51
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$36.31 / $63.10 / $93.33
Health New England
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$47.86 / $72.44 / $72.44
Health New England
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $30.20 / $147.91
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$263.03 / $263.03 / $263.03
Mass General Brigham
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Mass General Brigham
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$190.55 / $190.55 / $190.55
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $77.62 / $371.54
Mass General Brigham
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$8.32 / $22.39 / $199.53
Mass General Brigham
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$30.20 / $66.07 / $275.42
Tufts
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.11 / $50.12 / $138.04
Tufts
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $54.95 / $89.13
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.46 / $25.12 / $77.62
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $61.66 / $128.82
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$8.13 / $16.60 / $33.88
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$25.12 / $44.67 / $89.13