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Open Biopsy Of The Pancreas

Kentucky rates for HCPCS 48100

Takes a tissue sample from the pancreas during an operation in which the abdomen is open, using a fine needle, a core needle, or by cutting out a small wedge. Sampling the gland directly is done when an abnormality is found and its nature has to be established. The sample goes to a laboratory to be examined under a microscope.

Rates data updated July 2026.

How much does Open Biopsy Of The Pancreas cost?

$5,248

Typical facility fee. In Kentucky, July 2026.

Insurers have agreed to pay about $5,248 for this service. Most negotiated rates run $1,096 to $9,120.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $5,248 · 10th to 90th $851 to $11,220
$100.0$1.0K$10.0Kfacility $5,248

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
$851.14
Median
$1,096.48
Typical High
$8,511.38
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,606.93
Median
$10,715.19
Typical High
$11,220.18
CareSource
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$954.99
Typical High
$1,318.26
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$1,479.11
Typical High
$1,479.11
United
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$4,168.69
Typical High
$28,183.83

Where Kentucky sits

The same service costs 15.1 times more in Maine than in North Dakota. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Kentucky $5,248 · 12th of 50
ME $13,183ND $871

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.