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Washington 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 $68 · 10th–90th $18$2240%5%10%10th90th$68Professionalmedian $35 · 10th–90th $10$1100%10%10th90th$35$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $38.02 / $173.78
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$7.94 / $20.42 / $70.79
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$18.20 / $28.84 / $52.48
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $26.30 / $42.66
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$5.25 / $10.72 / $20.89
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$37.15 / $37.15 / $64.57
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $79.43 / $114.82
Asuris Northwest Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$15.14 / $20.42 / $31.62
Asuris Northwest Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$40.74 / $58.88 / $87.10
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $44.67 / $64.57
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$5.89 / $11.22 / $16.60
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$14.79 / $33.11 / $48.98
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50.12 / $102.33 / $223.87
Kaiser Permanente
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$14.45 / $26.30 / $223.87
Kaiser Permanente
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$35.48 / $72.44 / $223.87
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $97.72 / $125.89
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$14.45 / $22.39 / $30.90
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$35.48 / $72.44 / $95.50
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $32.36 / $33.11
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.38 / $63.10 / $91.20
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $35.48 / $95.50
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $95.50 / $117.49
Premera BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$14.79 / $24.55 / $30.20
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$43.65 / $69.18 / $87.10
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $83.18 / $112.20
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$15.14 / $20.89 / $31.62
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$40.74 / $60.26 / $85.11
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.72 / $19.95 / $41.69
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $41.69 / $95.50
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$6.76 / $11.22 / $27.54
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$17.78 / $30.20 / $69.18
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $48.98 / $48.98
Wellpoint
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$11.22 / $11.22 / $11.22
Wellpoint
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$37.15 / $37.15 / $37.15