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Standard Tissue Specimen Examination

Missouri 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?

$57.54

Typical negotiated rate. In Missouri, July 2026.

Insurers have agreed to pay about $57.54 for this service. The price depends on where it is billed: about $57.54 from a physician practice, and about $117 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 7 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$57.54$39.81 to $85.11
FacilityA hospital or hospital-owned outpatient department$117$117 to $170

How much rates vary

Facilitymedian $117 · 10th to 90th $41 to $182Professionalmedian $58 · 10th to 90th $35 to $115
$20$50$100$200facility $117professional $58

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
$117.49
Median
$169.82
Typical High
$181.97
Aetna
Setting
Facility
Modifier
TC · Technical part
Typical Low
$269.15
Median
$269.15
Typical High
$331.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$57.54
Typical High
$114.82
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$9.33
Median
$17.38
Typical High
$30.90
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$22.39
Median
$32.36
Typical High
$93.33
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$36.31
Typical High
$53.70
Ambetter
Setting
Professional
Modifier
26 · Professional part
Typical Low
$4.57
Median
$10.00
Typical High
$18.20
Ambetter
Setting
Professional
Modifier
TC · Technical part
Typical Low
$26.92
Median
$26.92
Typical High
$29.51
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$50.12
Typical High
$112.20
Anthem BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$10.00
Median
$18.20
Typical High
$60.26
Anthem BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$22.39
Median
$35.48
Typical High
$61.66
BCBS
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$48.98
Typical High
$100.00
BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$9.77
Median
$13.18
Typical High
$20.42
BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$27.54
Median
$35.48
Typical High
$77.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$29.51
Typical High
$144.54
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$5.25
Median
$9.33
Typical High
$128.82
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$13.80
Median
$23.99
Typical High
$120.23
Medica
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$51.29
Typical High
$131.83
Medica
Setting
Facility
Modifier
26 · Professional part
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Medica
Setting
Facility
Modifier
TC · Technical part
Typical Low
$165.96
Median
$165.96
Typical High
$165.96
Medica
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$74.13
Typical High
$363.08
Medica
Setting
Professional
Modifier
26 · Professional part
Typical Low
$7.08
Median
$15.85
Typical High
$190.55
Medica
Setting
Professional
Modifier
TC · Technical part
Typical Low
$17.78
Median
$50.12
Typical High
$269.15
United
Setting
Facility
Modifier
Global
Typical Low
$5.13
Median
$15.49
Typical High
$44.67
United
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$46.77
Typical High
$107.15
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$7.08
Median
$12.02
Typical High
$37.15
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$17.78
Median
$30.20
Typical High
$81.28

Where Missouri 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.

Missouri· 18th of 51

$57.54

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.