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Standard Tissue Specimen Examination

West 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?

$132

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $132 for this service. The price depends on where it is billed: about $31.62 from a physician practice, and about $214 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 5 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$31.62$29.51 to $38.90
FacilityA hospital or hospital-owned outpatient department$214$69.18 to $295

How much rates vary

Facilitymedian $214 · 10th to 90th $51 to $447Professionalmedian $32 · 10th to 90th $27 to $44
$20$50$100$200$500$1Kfacility $214professional $32

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
Facility
Modifier
Global
Typical Low
$51.29
Median
$213.80
Typical High
$446.68
Aetna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$10.00
Median
$10.00
Typical High
$10.00
Aetna
Setting
Facility
Modifier
TC · Technical part
Typical Low
$66.07
Median
$117.49
Typical High
$229.09
Aetna
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$31.62
Typical High
$38.90
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$10.23
Median
$23.44
Typical High
$24.55
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$19.95
Median
$23.44
Typical High
$28.18
CareSource
Setting
Facility
Modifier
Global
Typical Low
$11.75
Median
$36.31
Typical High
$50.12
CareSource
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$31.62
Typical High
$61.66
Cigna
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$95.50
Typical High
$95.50
Cigna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$2.63
Median
$12.30
Typical High
$17.38
Cigna
Setting
Facility
Modifier
TC · Technical part
Typical Low
$11.75
Median
$54.95
Typical High
$77.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$63.10
Typical High
$199.53
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$5.01
Median
$15.85
Typical High
$74.13
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$14.13
Median
$44.67
Typical High
$162.18
Highmark BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$13.18
Median
$14.13
Typical High
$20.89
United
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$43.65
Typical High
$97.72
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$5.75
Median
$7.94
Typical High
$23.99
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$14.13
Median
$32.36
Typical High
$57.54

Where West 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.

West Virginia· 1st of 51

$132

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.