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Open Biopsy Of The Pancreas

North Carolina 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?

$1,122

Typical facility fee. In North Carolina, July 2026.

Insurers have agreed to pay about $1,122 for this service. Most negotiated rates run $891 to $1,622.

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 $1,122 · 10th to 90th $813 to $3,311Professionalmedian $1,259 · 10th to 90th $1,259 to $1,259
$1.0$10.0$100.0$1.0K$10.0Kfacility $1,122professional $1,259

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$2,884.03
Typical High
$8,709.64
Cigna
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$512.86
Typical High
$35,481.34
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$1,258.93
Typical High
$1,258.93
Medcost
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$1,071.52
Typical High
$1,698.24
United
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$2,041.74
Typical High
$6,456.54
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$5,495.41
Typical High
$5,495.41

Where North Carolina 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.

North Carolina $1,122 · 45th 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.