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Additional Needle Biopsy Sample with CT Guidance

Illinois rates for HCPCS 10010

This add-on procedure covers taking a fine-needle sample from an additional lump or area of concern using CT scan images to guide the needle to the right spot, during the same visit as a first CT-guided needle biopsy. A thin needle draws out a small sample of cells for examination under a microscope.

Rates data updated July 2026.

How much does Additional Needle Biopsy Sample with CT Guidance cost?

$240

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $240 for this service. The price depends on where it is billed: about $200 from a physician practice, and about $1,380 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$200$85.11 to $302
FacilityA hospital or hospital-owned outpatient department$1,380$813 to $3,020

How much rates vary

Facilitymedian $1,380 · 10th to 90th $219 to $5,623Professionalmedian $200 · 10th to 90th $68 to $398
$100$200$500$1K$2K$5K$10Kfacility $1,380professional $200

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$1,380.38
Typical High
$5,623.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$194.98
Typical High
$363.08
BCBS
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$794.33
Typical High
$1,513.56
BCBS
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$208.93
Typical High
$398.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$223.87
Typical High
$446.68
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$346.74
Typical High
$645.65
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$93.33
Typical High
$309.03
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$812.83
Typical High
$2,290.87
United
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$239.88
Typical High
$501.19

Where Illinois sits

The same service costs 13.2 times more in California than in Kentucky. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Illinois· 29th of 51

$240

CA $2,512KY $191

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.