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New York 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 $52 · 10th–90th $12$9330%20%10th90th$52Professionalmedian $32 · 10th–90th $10$1150%10%10th90th$32$0.1$0.5$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
$50.12 / $54.95 / $933.25
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$7.08 / $12.30 / $12.30
Aetna
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$21.88 / $46.77 / $1,905.46
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $60.26 / $323.59
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$8.51 / $28.18 / $93.33
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.05 / $30.20 / $104.71
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $38.02 / $38.02
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.23 / $10.23 / $10.47
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $47.86 / $169.82
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$4.90 / $14.45 / $40.74
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$20.42 / $33.88 / $114.82
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.76 / $16.22 / $41.69
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $29.51 / $57.54
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$66.07 / $79.43 / $95.50
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$2.69 / $12.59 / $17.78
Cigna
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$11.75 / $54.95 / $77.62
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $51.29 / $181.97
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$6.17 / $13.49 / $37.15
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$18.62 / $38.90 / $141.25
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.46 / $6.46 / $6.46
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $40.74 / $74.13
Emblem Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$7.76 / $12.30 / $63.10
Emblem Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$23.44 / $32.36 / $52.48
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $53.70 / $83.18
Excellus BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$9.33 / $15.14 / $29.51
Excellus BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$25.70 / $37.15 / $61.66
Fidelis
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.23 / $12.02 / $17.38
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $72.44 / $77.62
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$11.48 / $11.75 / $23.99
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $42.66 / $46.77
MVP Health Care
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.96 / $10.96 / $13.18
MVP Health Care
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$30.20 / $31.62 / $38.02
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.02 / $37.15 / $48.98
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $39.81 / $93.33
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$5.89 / $11.75 / $36.31
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$16.22 / $33.11 / $58.88
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $50.12 / $91.20
Univera
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$9.33 / $13.49 / $29.51
Univera
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$25.70 / $37.15 / $66.07