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Utah 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

Professionalmedian $32 · 10th–90th $9$790%5%10%10th90th$32$2.0$5.0$10.0$20.0$50.0$100.0$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $45.71 / $74.13
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$7.08 / $28.84 / $87.10
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$21.88 / $33.88 / $54.95
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $44.67 / $91.20
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$5.25 / $13.18 / $23.99
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$20.89 / $32.36 / $69.18
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $51.29 / $69.18
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$11.75 / $13.18 / $19.05
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$32.36 / $38.02 / $50.12
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $63.10 / $91.20
Select Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.47 / $16.60 / $21.88
Select Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$32.36 / $45.71 / $63.10
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $32.36 / $72.44
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $37.15 / $75.86
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$6.46 / $7.08 / $17.38
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$17.78 / $30.20 / $53.70