go back

North Carolina 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 $115 · 10th–90th $87–$2140%50%10th90th$115Professionalmedian $295 · 10th–90th $112–$7590%5%10th90th$295$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
$87.10 / $114.82 / $213.80
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $346.74 / $977.24
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$112.20 / $302.00 / $812.83
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$194.98 / $223.87 / $549.54
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$66.07 / $186.21 / $257.04
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$117.49 / $208.93 / $251.19
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$64.57 / $234.42 / $346.74
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $245.47 / $645.65
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$63.10 / $100.00 / $218.78
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$69.18 / $138.04 / $426.58
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $398.11 / $446.68
Medcost
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$208.93 / $208.93 / $218.78
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$97.72 / $97.72 / $97.72
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $269.15 / $416.87
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $371.54 / $691.83
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$81.28 / $138.04 / $275.42
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$104.71 / $204.17 / $436.52
Wellcare
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$891.25 / $891.25 / $891.25
Wellcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,754.23 / $2,754.23 / $3,548.13
Wellcare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$891.25 / $891.25 / $1,122.02
Wellcare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$1,862.09 / $1,862.09 / $2,454.71