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On-The-Spot Check Of A Needle Biopsy Sample

Kentucky rates for HCPCS 88172

When a fine needle is used to collect cells from a lump or lesion, a specialist can examine the sample immediately while the patient is still present to confirm that enough material was collected to make a diagnosis. This on-the-spot check helps avoid the need to repeat the needle sampling on a separate visit if the first attempt didn't collect enough material.

Rates data updated October 2026.

How much does On-The-Spot Check Of A Needle Biopsy Sample cost?

$50.12

Typical negotiated rate. In Kentucky, October 2026.

Insurers have agreed to pay about $50.12 for this service. The price depends on where it is billed: about $51.29 from a physician practice, and about $42.66 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$51.29$35.48 to $83.18
FacilityA hospital or hospital-owned outpatient department$42.66$39.81 to $63.10

How much rates vary

Facilitymedian $43 · 10th to 90th $19 to $87Professionalmedian $51 · 10th to 90th $25 to $126
$10$20$50$100$200facility $43professional $51

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
$40.74
Median
$42.66
Typical High
$79.43
Aetna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$25.70
Median
$26.92
Typical High
$48.98
Aetna
Setting
Facility
Modifier
TC · Technical part
Typical Low
$15.14
Median
$15.85
Typical High
$34.67
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$40.74
Median
$50.12
Typical High
$95.50
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$25.70
Median
$30.20
Typical High
$53.70
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$14.13
Median
$18.20
Typical High
$34.67
Ambetter
Setting
Professional
Modifier
None (both parts)
Typical Low
$34.67
Median
$34.67
Typical High
$34.67
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$10.00
Median
$10.00
Typical High
$10.00
Anthem BCBS
Setting
Professional
Modifier
None (both parts)
Typical Low
$23.44
Median
$45.71
Typical High
$87.10
Anthem BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$15.14
Median
$25.12
Typical High
$47.86
Anthem BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$8.32
Median
$18.62
Typical High
$38.90
CareSource
Setting
Facility
Modifier
None
Typical Low
$19.05
Median
$36.31
Typical High
$70.79
CareSource
Setting
Professional
Modifier
None (both parts)
Typical Low
$21.38
Median
$41.69
Typical High
$70.79
Cigna
Setting
Facility
Modifier
None
Typical Low
$18.62
Median
$87.10
Typical High
$87.10
Cigna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$8.32
Median
$38.90
Typical High
$54.95
Cigna
Setting
Facility
Modifier
TC · Technical part
Typical Low
$5.01
Median
$23.44
Typical High
$33.88
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$26.30
Median
$83.18
Typical High
$263.03
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$16.22
Median
$56.23
Typical High
$158.49
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$9.55
Median
$33.88
Typical High
$102.33
Molina
Setting
Professional
Modifier
None (both parts)
Typical Low
$33.11
Median
$33.11
Typical High
$33.11
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$38.02
Median
$54.95
Typical High
$114.82
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$22.91
Median
$37.15
Typical High
$75.86
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$15.14
Median
$19.50
Typical High
$39.81

Where Kentucky sits

The same service costs 3.2 times more in Wisconsin than in Nevada. 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.

Kentucky· 37th of 51

$50.12

WI $112NV $34.67

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.