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Open Biopsy or Removal of Groin Lymph Nodes

Utah rates for HCPCS 38531

Through an incision in the groin, one or more lymph nodes from the groin and upper thigh region are taken out and sent to a laboratory. This is done to find out whether cancer, infection or another disease is present in the nodes. It is an open procedure rather than a needle sample, so a whole node can be examined.

Facilitymedian $4,571 · 10th–90th $2,455$7,0790%10%20%10th90th$4,571Professionalmedian $676 · 10th–90th $389$1,6600%20%10th90th$676$500.0$1.0K$2.0K$5.0K$10.0K$20.0K

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
$2,454.71
Median
$4,466.84
Typical High
$7,079.46
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$5,888.44
Median
$5,888.44
Typical High
$5,888.44
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$5,495.41
Median
$7,585.78
Typical High
$11,481.54
Regence BlueShield
Setting
Facility
Modifier
50 · Both sides
Typical Low
$8,128.31
Median
$11,220.18
Typical High
$16,982.44
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$676.08
Typical High
$1,659.59
United
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$5,128.61
Typical High
$8,317.64