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North Carolina 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 $34 · 10th–90th $9$950%20%10th90th$34Professionalmedian $34 · 10th–90th $9$1230%10%10th90th$34$2.0$10.0$50.0$200.0$1.0K$5.0K

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
$16.22 / $33.88 / $104.71
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$8.51 / $8.91 / $16.98
Aetna
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$22.91 / $25.12 / $42.66
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $60.26 / $331.13
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$8.32 / $30.90 / $95.50
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.95 / $32.36 / $123.03
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $43.65 / $64.57
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$5.13 / $12.59 / $19.95
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$34.67 / $34.67 / $34.67
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$9.12 / $20.42 / $25.12
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$28.84 / $33.11 / $58.88
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $33.88 / $85.11
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$5.37 / $7.94 / $19.05
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$14.13 / $24.55 / $67.61
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $89.13 / $102.33
Medcost
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$20.42 / $20.42 / $20.89
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$31.62 / $53.70 / $109.65
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $36.31 / $36.31
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $28.84 / $41.69
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $39.81 / $91.20
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$6.46 / $11.22 / $23.99
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$16.60 / $29.51 / $77.62
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$263.03 / $263.03 / $263.03
Wellcare
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Wellcare
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$190.55 / $190.55 / $190.55
Wellcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $371.54 / $371.54
Wellcare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$199.53 / $199.53 / $199.53
Wellcare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$269.15 / $275.42 / $275.42