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Open Biopsy Of The Pancreas

Virginia 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?

$1,479

Typical facility fee. In Virginia, July 2026.

Insurers have agreed to pay about $1,479 for this service. Most negotiated rates run $1,023 to $7,079.

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 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $1,549 · 10th to 90th $871 to $12,023Professionalmedian $1,023 · 10th to 90th $832 to $1,585
$500.0$1.0K$2.0K$5.0K$10.0K$20.0Kfacility $1,549professional $1,023

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
$1,000.00
Median
$5,011.87
Typical High
$14,125.38
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,760.83
Median
$11,220.18
Typical High
$15,848.93
Cigna
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$524.81
Typical High
$1,479.11
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$977.24
Typical High
$1,584.89
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,071.52
Typical High
$1,905.46
Medcost
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$1,148.15
Typical High
$1,778.28
Sentara
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$1,023.29
Typical High
$2,187.76
United
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$2,884.03
Typical High
$6,309.57

Where Virginia 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.

Virginia $1,479 · 33rd 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.