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Tennessee 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 $100 · 10th–90th $25$1910%20%10th90th$100Professionalmedian $33 · 10th–90th $10$1050%5%10th90th$33$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$46.77 / $46.77 / $131.83
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $64.57 / $213.80
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$9.33 / $29.51 / $85.11
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.95 / $32.36 / $123.03
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $19.05 / $26.30
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$4.90 / $5.01 / $13.80
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$13.80 / $13.80 / $38.02
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $41.69 / $87.10
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$5.75 / $12.02 / $20.42
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$13.80 / $30.20 / $70.79
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.18 / $30.20 / $56.23
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$5.13 / $5.50 / $10.00
Cigna
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$22.91 / $24.55 / $45.71
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $28.84 / $95.50
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$5.25 / $8.13 / $21.88
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$13.49 / $19.95 / $53.70
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$263.03 / $263.03 / $263.03
Lucent Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Lucent Health
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$190.55 / $190.55 / $190.55
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $363.08 / $371.54
Lucent Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$199.53 / $199.53 / $199.53
Lucent Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$269.15 / $269.15 / $275.42
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $39.81 / $93.33
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$6.46 / $10.72 / $50.12
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$15.85 / $28.84 / $74.13