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Wisconsin 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 $603 · 10th–90th $263–$8910%10%10th90th$603Professionalmedian $398 · 10th–90th $132–$1,0960%5%10%10th90th$398$5.0$20.0$100.0$500.0$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $416.87 / $660.69
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$123.03 / $316.23 / $851.14
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$204.17 / $281.84 / $831.76
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$407.38 / $1,000.00 / $2,951.21
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$154.88 / $346.74 / $1,023.29
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$257.04 / $676.08 / $1,862.09
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $295.12 / $575.44
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$436.52 / $501.19 / $741.31
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $537.03 / $1,318.26
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$66.07 / $173.78 / $426.58
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$125.89 / $354.81 / $870.96
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,174.90 / $1,174.90 / $1,288.25
DeanCare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$380.19 / $380.19 / $426.58
DeanCare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$776.25 / $776.25 / $870.96
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$630.96 / $630.96 / $630.96
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $407.38 / $2,754.23
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$109.65 / $239.88 / $891.25
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$165.96 / $263.03 / $1,862.09
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $58.88 / $85.11
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $602.56 / $1,348.96
Network Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$131.83 / $213.80 / $446.68
Network Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$263.03 / $398.11 / $891.25
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$602.56 / $977.24 / $1,445.44
Quartz
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$263.03 / $263.03 / $891.25
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $2,041.74 / $2,754.23
Quartz
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$66.07 / $741.31 / $891.25
Quartz
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$134.90 / $1,288.25 / $1,862.09
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $338.84 / $891.25
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$194.98 / $194.98 / $302.00
Security Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$186.21 / $186.21 / $588.84
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $602.56 / $2,238.72
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$194.98 / $194.98 / $537.03
Security Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$186.21 / $186.21 / $891.25
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $660.69 / $2,344.23
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$95.50 / $251.19 / $741.31
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$151.36 / $263.03 / $588.84