go back

Standard Tissue Specimen Examination

South Dakota 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?

$58.88

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $58.88 for this service. Most negotiated rates run $42.66 to $79.43.

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 8 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $69 · 10th to 90th $48 to $115Professionalmedian $59 · 10th to 90th $30 to $91
$50$100$200facility $69professional $59

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
$29.51
Median
$44.67
Typical High
$44.67
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$10.23
Median
$10.96
Typical High
$53.70
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$19.50
Median
$85.11
Typical High
$89.13
Avera
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$72.44
Typical High
$77.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$74.13
Typical High
$114.82
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$13.80
Median
$19.50
Typical High
$28.84
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$41.69
Median
$54.95
Typical High
$87.10
Medica
Setting
Facility
Modifier
Global
Typical Low
$47.86
Median
$69.18
Typical High
$114.82
Medica
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$74.13
Typical High
$363.08
Medica
Setting
Professional
Modifier
26 · Professional part
Typical Low
$7.08
Median
$23.99
Typical High
$141.25
Medica
Setting
Professional
Modifier
TC · Technical part
Typical Low
$17.78
Median
$52.48
Typical High
$269.15
Midlands
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$69.18
Typical High
$74.13
Midlands
Setting
Professional
Modifier
26 · Professional part
Typical Low
$19.05
Median
$20.89
Typical High
$20.89
Midlands
Setting
Professional
Modifier
TC · Technical part
Typical Low
$47.86
Median
$47.86
Typical High
$54.95
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$79.43
Typical High
$95.50
Sanford Health Plan
Setting
Professional
Modifier
26 · Professional part
Typical Low
$14.13
Median
$19.05
Typical High
$21.38
Sanford Health Plan
Setting
Professional
Modifier
TC · Technical part
Typical Low
$41.69
Median
$61.66
Typical High
$70.79
United
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$38.02
Typical High
$93.33
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$6.61
Median
$7.08
Typical High
$23.99
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$17.78
Median
$19.05
Typical High
$70.79
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$89.13
Typical High
$93.33
Wellmark
Setting
Professional
Modifier
26 · Professional part
Typical Low
$18.20
Median
$22.91
Typical High
$23.99
Wellmark
Setting
Professional
Modifier
TC · Technical part
Typical Low
$54.95
Median
$66.07
Typical High
$69.18

Where South Dakota 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.

South Dakota· 17th of 51

$58.88

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.