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Oregon 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 $162 · 10th–90th $55$5370%10%10th90th$162Professionalmedian $35 · 10th–90th $10$870%5%10%10th90th$35$1.0$5.0$20.0$100.0$500.0

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
$77.62 / $204.17 / $660.69
Aetna
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$114.82 / $114.82 / $144.54
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $38.02 / $173.78
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.00 / $23.44 / $69.18
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$14.79 / $30.90 / $61.66
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50.12 / $50.12 / $50.12
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $38.02 / $83.18
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$5.37 / $9.33 / $19.05
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$15.49 / $28.84 / $61.66
HealthNet
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$20.89 / $20.89 / $20.89
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $81.28 / $117.49
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.23 / $20.42 / $29.51
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$30.20 / $61.66 / $87.10
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$42.66 / $93.33 / $537.03
Moda Health
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$114.82 / $114.82 / $144.54
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $74.13 / $141.25
Moda Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.72 / $20.89 / $46.77
Moda Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$28.18 / $53.70 / $100.00
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.79 / $48.98 / $85.11
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$42.66 / $67.61 / $117.49
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $81.28 / $125.89
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$6.17 / $11.48 / $32.36
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$16.22 / $33.88 / $93.33
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$208.93 / $208.93 / $213.80
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $85.11 / $138.04
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$15.85 / $23.44 / $35.48
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$42.66 / $61.66 / $102.33
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $41.69 / $134.90
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$7.08 / $17.78 / $38.02
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$17.78 / $25.12 / $100.00