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X-ray Of A Surgical Tissue Specimen

Vermont 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?

$52.48

Typical negotiated rate. In Vermont, October 2026.

Insurers have agreed to pay about $52.48 for this service. The price depends on where it is billed: about $44.67 from a physician practice, and about $468 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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$44.67$25.12 to $63.10
FacilityA hospital or hospital-owned outpatient department$468$263 to $468

How much rates vary

Facilitymedian $468 · 10th to 90th $229 to $603Professionalmedian $45 · 10th to 90th $20 to $105
$20$50$100$200$500$1Kfacility $468professional $45

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$467.74
Median
$467.74
Typical High
$467.74
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$12.88
Median
$19.95
Typical High
$40.74
BCBS Vermont
Setting
Facility
Modifier
None
Typical Low
$109.65
Median
$263.03
Typical High
$630.96
BCBS Vermont
Setting
Professional
Modifier
None (both parts)
Typical Low
$43.65
Median
$43.65
Typical High
$51.29
Cigna
Setting
Facility
Modifier
None
Typical Low
$234.42
Median
$234.42
Typical High
$1,258.93
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$22.91
Median
$63.10
Typical High
$66.07
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$10.47
Median
$21.88
Typical High
$31.62
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$12.02
Median
$40.74
Typical High
$40.74
MVP Health Care
Setting
Professional
Modifier
None (both parts)
Typical Low
$19.05
Median
$104.71
Typical High
$151.36
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$29.51
Median
$52.48
Typical High
$147.91

Where Vermont 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.

Vermont· 17th of 51

$52.48

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.