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New Mexico 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 $60 · 10th–90th $19$2570%10%20%10th90th$60Professionalmedian $35 · 10th–90th $10$1050%5%10%10th90th$35$2.0$10.0$50.0$200.0

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
$57.54 / $66.07 / $512.86
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$13.18 / $13.18 / $19.05
Aetna
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$33.11 / $33.11 / $52.48
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $57.54 / $138.04
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$7.94 / $13.80 / $52.48
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$21.38 / $32.36 / $53.70
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $28.84 / $53.70
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $69.18 / $95.50
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.96 / $13.49 / $18.20
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$27.54 / $56.23 / $77.62
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $33.11
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.02 / $60.26 / $95.50
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $81.28 / $114.82
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$11.22 / $14.45 / $18.20
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$28.84 / $56.23 / $77.62
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $37.15 / $91.20
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$6.46 / $7.08 / $22.39
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$17.78 / $30.20 / $57.54