go back

Additional Needle Biopsy Sample with CT Guidance

West Virginia 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?

$200

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $200 for this service. The price depends on where it is billed: about $200 from a physician practice, and about $240 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 4 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$75.86 to $251
FacilityA hospital or hospital-owned outpatient department$240$75.86 to $240

How much rates vary

Facilitymedian $240 · 10th to 90th $76 to $1,230Professionalmedian $200 · 10th to 90th $63 to $309
$100$200$500$1Kfacility $240professional $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
$75.86
Median
$239.88
Typical High
$1,230.27
Aetna
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$93.33
Typical High
$309.03
CareSource
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$77.62
Typical High
$95.50
CareSource
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$85.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$120.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$239.88
Typical High
$1,122.02
United
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$457.09
Typical High
$977.24
United
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$173.78
Typical High
$446.68

Where West Virginia 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.

West Virginia· 47th of 51

$200

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.