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Standard Tissue Specimen Examination

New Jersey 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?

$38.90

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $38.90 for this service. Most negotiated rates run $32.36 to $63.10.

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.

How much rates vary

Facilitymedian $16,218 · 10th to 90th $13,804 to $16,218Professionalmedian $39 · 10th to 90th $29 to $83
$20$100$500$2K$10Kfacility $16,218professional $39

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$38.90
Typical High
$70.79
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$7.08
Median
$11.22
Typical High
$54.95
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$21.88
Median
$33.11
Typical High
$54.95
Ambetter
Setting
Professional
Modifier
26 · Professional part
Typical Low
$18.20
Median
$18.20
Typical High
$18.20
AmeriHealth
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$97.72
Typical High
$109.65
AmeriHealth
Setting
Professional
Modifier
26 · Professional part
Typical Low
$10.00
Median
$16.60
Typical High
$30.20
AmeriHealth
Setting
Professional
Modifier
TC · Technical part
Typical Low
$81.28
Median
$81.28
Typical High
$81.28
Cigna
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$37.15
Typical High
$89.13
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$5.89
Median
$10.96
Typical High
$22.39
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$16.98
Median
$30.90
Typical High
$67.61
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$51.29
Typical High
$85.11
Emblem Health
Setting
Professional
Modifier
26 · Professional part
Typical Low
$7.76
Median
$12.30
Typical High
$46.77
Emblem Health
Setting
Professional
Modifier
TC · Technical part
Typical Low
$23.44
Median
$38.90
Typical High
$58.88
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$13,803.84
Median
$16,218.10
Typical High
$16,218.10
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$54.95
Typical High
$114.82
Horizon BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$7.76
Median
$12.88
Typical High
$21.38
Horizon BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$21.38
Median
$33.88
Typical High
$81.28
United
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$33.11
Typical High
$75.86
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$5.13
Median
$8.51
Typical High
$18.62
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$15.49
Median
$26.92
Typical High
$58.88

Where New Jersey 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.

New Jersey· 45th of 51

$38.90

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.