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Open Biopsy Of The Pancreas

New York 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?

$4,898

Typical facility fee. In New York, July 2026.

Insurers have agreed to pay about $4,898 for this service. Most negotiated rates run $2,630 to $7,762.

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 9 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $4,898 · 10th to 90th $1,122 to $11,482
$100.0$1.0K$10.0K$100.0Kfacility $4,898

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
$1,047.13
Median
$3,019.95
Typical High
$10,232.93
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$5,623.41
Typical High
$12,882.50
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$1,258.93
Typical High
$37,153.52
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,479.11
Median
$1,479.11
Typical High
$1,778.28
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$1,122.02
Typical High
$3,311.31
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$831.76
Typical High
$831.76
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$50,118.72
Typical High
$75,857.76
United
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$3,981.07
Typical High
$8,912.51
Univera
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$1,047.13
Typical High
$3,019.95

Where New York 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.

New York $4,898 · 14th 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.