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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 July 2026.

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

$42.66

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $42.66 for this service. Most negotiated rates run $24.55 to $51.29.

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

Professionalmedian $43 · 10th to 90th $23 to $81
$10.0$20.0$50.0$100.0$200.0professional $43

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
26 · Professional part
Typical Low
$43.65
Median
$43.65
Typical High
$52.48
Aetna
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$42.66
Typical High
$67.61
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$25.70
Median
$26.30
Typical High
$45.71
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$13.49
Median
$15.85
Typical High
$60.26
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$34.67
Typical High
$34.67
Ambetter
Setting
Professional
Modifier
26 · Professional part
Typical Low
$39.81
Median
$39.81
Typical High
$44.67
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$23.44
Typical High
$87.10
Anthem BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$15.14
Median
$15.14
Typical High
$47.86
Anthem BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$8.32
Median
$8.32
Typical High
$38.90
CareSource
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$37.15
Typical High
$69.18
Cigna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$8.32
Median
$38.90
Typical High
$54.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$63.10
Typical High
$263.03
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$16.22
Median
$42.66
Typical High
$158.49
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$9.12
Median
$22.39
Typical High
$102.33
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$52.48
Typical High
$102.33
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$22.91
Median
$37.15
Typical High
$79.43
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$15.14
Median
$18.62
Typical High
$38.90

Where Kentucky sits

The same service costs 2.6 times more in Wyoming than in Alabama. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Kentucky $42.66 · 48th of 51
WY $107AL $40.74

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.