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Standard Tissue Specimen Examination

Virginia 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?

$38.90

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $38.90 for this service. Most negotiated rates run $34.67 to $61.66.

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 $55 · 10th to 90th $14 to $91Professionalmedian $38 · 10th to 90th $28 to $79
$10$20$50$100facility $55professional $38

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
Professional
Modifier
Global
Typical Low
$27.54
Median
$35.48
Typical High
$69.18
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$9.12
Median
$12.02
Typical High
$23.99
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$21.88
Median
$28.84
Typical High
$56.23
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$47.86
Typical High
$75.86
Anthem BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$10.72
Median
$12.30
Typical High
$20.42
Anthem BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$28.18
Median
$34.67
Typical High
$53.70
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$41.69
Typical High
$48.98
CareFirst
Setting
Professional
Modifier
26 · Professional part
Typical Low
$10.00
Median
$11.22
Typical High
$15.49
CareFirst
Setting
Professional
Modifier
TC · Technical part
Typical Low
$30.20
Median
$31.62
Typical High
$37.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$30.20
Typical High
$85.11
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$5.01
Median
$6.61
Typical High
$22.39
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$14.45
Median
$22.39
Typical High
$63.10
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$52.48
Typical High
$58.88
Kaiser Permanente
Setting
Professional
Modifier
26 · Professional part
Typical Low
$10.23
Median
$12.30
Typical High
$14.13
Kaiser Permanente
Setting
Professional
Modifier
TC · Technical part
Typical Low
$30.20
Median
$38.90
Typical High
$45.71
Medcost
Setting
Facility
Modifier
Global
Typical Low
$38.02
Median
$57.54
Typical High
$104.71
Medcost
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$32.36
Sentara
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$53.70
Typical High
$81.28
Sentara
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$63.10
Typical High
$95.50
Sentara
Setting
Professional
Modifier
26 · Professional part
Typical Low
$11.75
Median
$16.98
Typical High
$25.12
Sentara
Setting
Professional
Modifier
TC · Technical part
Typical Low
$41.69
Median
$56.23
Typical High
$75.86
United
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$43.65
Typical High
$87.10
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$7.08
Median
$11.75
Typical High
$23.99
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$19.50
Median
$34.67
Typical High
$66.07

Where Virginia 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.

Virginia· 44th of 51

$38.90

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.