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Tennessee rates for HCPCS 88311

Decalcification procedure (List separately in addition to code for surgical pathology examination)

Facilitymedian $100 · 10th–90th $5$1320%20%10th90th$100Professionalmedian $19 · 10th–90th $8$760%5%10th90th$19$5.0$10.0$20.0$50.0$100.0

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
$14.13 / $19.95 / $54.95
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.47 / $24.55 / $79.43
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$5.01 / $8.13 / $21.38
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.12 / $9.12 / $22.39
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$5.50 / $5.62 / $13.49
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$4.47 / $4.47 / $5.25
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $20.89 / $36.31
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$6.17 / $13.18 / $21.88
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$3.98 / $7.59 / $14.45
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.32 / $8.91 / $16.22
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$5.62 / $6.03 / $11.22
Cigna
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$2.63 / $2.82 / $5.25
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.12 / $13.80 / $34.67
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$5.62 / $8.91 / $23.44
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$3.55 / $4.57 / $13.18
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$131.83 / $131.83 / $131.83
Lucent Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Lucent Health
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $169.82 / $169.82
Lucent Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Lucent Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $17.78 / $39.81
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$7.08 / $11.48 / $28.18
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$4.37 / $6.31 / $12.59