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X-ray Of A Surgical Tissue Specimen

Utah rates for HCPCS 76098

This service takes an X-ray image of a tissue sample immediately after it has been surgically removed, most often during a biopsy for a suspicious breast finding. Imaging the specimen right away helps confirm that the area of concern, such as a cluster of calcifications, was actually captured within the removed tissue before the patient leaves the procedure. This immediate confirmation can help avoid the need for a repeat procedure.

Rates data updated October 2026.

How much does X-ray Of A Surgical Tissue Specimen cost?

$30.20

Typical negotiated rate. In Utah, October 2026.

Insurers have agreed to pay about $30.20 for this service. The price depends on where it is billed: about $30.20 from a physician practice, and about $1,072 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$30.20$24.55 to $38.02
FacilityA hospital or hospital-owned outpatient department$1,072$66.07 to $1,413

How much rates vary

Facilitymedian $1,072 · 10th to 90th $21 to $1,698Professionalmedian $30 · 10th to 90th $21 to $65
$20$50$100$200$500$1K$2Kfacility $1,072professional $30

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$20.89
Median
$20.89
Typical High
$20.89
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$19.50
Median
$20.89
Typical High
$52.48
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$8.13
Median
$9.12
Typical High
$16.98
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$11.75
Median
$12.02
Typical High
$35.48
Cigna
Setting
Facility
Modifier
None
Typical Low
$602.56
Median
$954.99
Typical High
$4,265.80
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$19.95
Median
$19.95
Typical High
$66.07
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$8.91
Median
$8.91
Typical High
$25.12
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$10.96
Median
$10.96
Typical High
$40.74
Molina
Setting
Professional
Modifier
None (both parts)
Typical Low
$22.91
Median
$27.54
Typical High
$34.67
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$870.96
Median
$1,174.90
Typical High
$1,698.24
Regence BlueShield
Setting
Professional
Modifier
None (both parts)
Typical Low
$60.26
Median
$64.57
Typical High
$81.28
Regence BlueShield
Setting
Professional
Modifier
26 · Professional part
Typical Low
$21.38
Median
$22.39
Typical High
$28.18
Regence BlueShield
Setting
Professional
Modifier
TC · Technical part
Typical Low
$39.81
Median
$41.69
Typical High
$52.48
Select Health
Setting
Facility
Modifier
None
Typical Low
$66.07
Median
$66.07
Typical High
$66.07
Select Health
Setting
Professional
Modifier
None (both parts)
Typical Low
$36.31
Median
$48.98
Typical High
$70.79
U of Utah Health Plan
Setting
Professional
Modifier
None
Typical Low
$14.45
Median
$34.67
Typical High
$75.86
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$18.62
Median
$43.65
Typical High
$75.86
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$7.76
Median
$16.22
Typical High
$25.70
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$10.96
Median
$27.54
Typical High
$45.71
3 more rates with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$10.47
Median
$10.47
Typical High
$32.36
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$4.17
Median
$4.17
Typical High
$12.88
Aetna
Setting
Professional
Modifier
FX · Film X-ray
Typical Low
$16.98
Median
$16.98
Typical High
$36.31

Where Utah sits

The same service costs 9.3 times more in Alaska than in New York. 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.

Utah· 44th of 51

$30.20

AK $123NY $13.18

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.