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Needle Sampling Of A Lump Using CT Guidance

West Virginia rates for HCPCS 10009

A very thin needle is passed into a lump or abnormal area to draw out cells for examination under a microscope, with a CT scanner used to see the target and steer the needle to it. CT guidance is chosen for areas deep inside the body that other imaging cannot show clearly. This covers sampling of the first area, and each further area sampled at the same visit is billed separately.

Facilitymedian $407 · 10th–90th $107$1,4130%20%10th90th$407Professionalmedian $275 · 10th–90th $93$4570%10%20%10th90th$275$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
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$407.38
Typical High
$1,412.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$213.80
Typical High
$426.58
CareSource
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$114.82
Typical High
$138.04
CareSource
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$123.03
Typical High
$123.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$186.21
Typical High
$186.21
Cigna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$147.91
Median
$147.91
Typical High
$147.91
Cigna
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$407.38
Typical High
$1,949.84
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,890.45
Median
$3,890.45
Typical High
$3,890.45
United
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$691.83
Typical High
$1,995.26
United
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$295.12
Typical High
$741.31