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Kentucky rates for HCPCS 88309

Level VI - Surgical pathology, gross and microscopic examination Bone resection Breast, mastectomy - with regional lymph nodes Colon, segmental resection for tumor Colon, total resection Esophagus, partial/total resection Extremity, disarticulation Fetus, with dissection Larynx, partial/total resection - with regional lymph nodes Lung - total/lobe/segment resection Pancreas, total/subtotal resection Prostate, radical resection Small intestine, resection for tumor Soft tissue tumor, extensive resection Stomach - subtotal/total resection for tumor Testis, tumor Tongue/tonsil -resection for tumor Urinary bladder, partial/total resection Uterus, with or without tubes and ovaries, neoplastic Vulva, total/subtotal resection

Facilitymedian $178 · 10th–90th $107–$2400%20%10th90th$178Professionalmedian $234 · 10th–90th $105–$5890%10%10th90th$234$50.0$100.0$200.0$500.0$1.0K$2.0K

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
Facility
Modifier
26
Typical Low / Median / Typical High
$114.82 / $177.83 / $239.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $389.05 / $1,071.52
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$107.15 / $239.88 / $588.84
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$204.17 / $257.04 / $436.52
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $263.03 / $263.03
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$131.83 / $162.18 / $181.97
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $147.91 / $295.12
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$109.65 / $112.20 / $177.83
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$32.36 / $33.88 / $151.36
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $269.15 / $524.81
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$38.02 / $177.83 / $251.19
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $331.13 / $1,995.26
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$66.07 / $162.18 / $645.65
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$125.89 / $208.93 / $1,348.96
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $33.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $389.05 / $691.83
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$91.20 / $144.54 / $281.84
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$112.20 / $239.88 / $416.87