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Needle Biopsy of Abdominal or Retroperitoneal Mass

North Carolina rates for HCPCS 49180

A provider inserts a needle through the skin to obtain a small tissue sample from a mass located in the abdomen or the space behind the abdominal cavity, without open surgery. The sample is then examined under a microscope to help determine what the mass is. Imaging such as ultrasound or CT is often used alongside this procedure to guide the needle to the right spot.

Rates data updated July 2026.

How much does Needle Biopsy of Abdominal or Retroperitoneal Mass cost?

$480

Typical total for the visit. In North Carolina, July 2026.

Insurers have agreed to pay about $480 for this procedure. That total is two separate charges: $204 to the doctor who performs it, and $275 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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 8 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$204$123 to $316
Facility feeThe hospital or surgery center$275$158 to $1,259

How much rates vary

Facilitymedian $275 · 10th to 90th $91 to $5,129Professionalmedian $204 · 10th to 90th $87 to $437
$50$100$200$500$1K$2K$5Kfacility $275professional $204

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
$125.89
Median
$1,000.00
Typical High
$5,248.07
Aetna
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$162.18
Typical High
$363.08
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$117.49
Typical High
$316.23
BCBS
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$251.19
Typical High
$478.63
Cigna
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$831.76
Typical High
$1,288.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$190.55
Typical High
$371.54
Medcost
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$288.40
Typical High
$288.40
Medcost
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$169.82
Typical High
$309.03
Medcost
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$426.58
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$346.74
Typical High
$371.54
United
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$2,041.74
Typical High
$6,309.57
United
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$147.91
Typical High
$263.03
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$4,168.69
Median
$4,168.69
Typical High
$19,498.45
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$1,445.44
Median
$2,290.87
Typical High
$2,290.87

Where North Carolina sits

The same service costs 14.2 times more in New Jersey than in Delaware. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Physician feeFacility fee

North Carolina· 43rd of 51

$480

$204 physician + $275 facility

NJ $4,625DE $325

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.