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Standard Tissue Specimen Examination

Rhode Island 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?

$48.98

Typical negotiated rate. In Rhode Island, July 2026.

Insurers have agreed to pay about $48.98 for this service. The price depends on where it is billed: about $42.66 from a physician practice, and about $182 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 4 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$42.66$36.31 to $48.98
FacilityA hospital or hospital-owned outpatient department$182$107 to $288

How much rates vary

Facilitymedian $182 · 10th to 90th $48 to $295Professionalmedian $43 · 10th to 90th $36 to $83
$20$50$100$200$500$1K$2Kfacility $182professional $43

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$181.97
Typical High
$295.12
Aetna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$14.45
Median
$26.30
Typical High
$26.30
Aetna
Setting
Facility
Modifier
TC · Technical part
Typical Low
$43.65
Median
$79.43
Typical High
$251.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$48.98
Typical High
$83.18
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$8.32
Median
$19.05
Typical High
$23.44
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$27.54
Median
$40.74
Typical High
$60.26
BCBS
Setting
Facility
Modifier
Global
Typical Low
$42.66
Median
$42.66
Typical High
$47.86
BCBS
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$42.66
Typical High
$60.26
BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$7.59
Median
$10.96
Typical High
$15.49
BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$22.39
Median
$31.62
Typical High
$31.62
Cigna
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$51.29
Typical High
$51.29
Cigna
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$24.55
Typical High
$75.86
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$5.89
Median
$15.85
Typical High
$19.50
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$16.22
Median
$19.05
Typical High
$57.54
United
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$43.65
Typical High
$69.18
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$5.62
Median
$12.59
Typical High
$18.62
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$20.89
Median
$31.62
Typical High
$45.71

Where Rhode Island 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.

Rhode Island· 30th of 51

$48.98

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.