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On-The-Spot Check Of A Needle Biopsy Sample

South Dakota 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?

$95.50

Typical negotiated rate. In South Dakota, October 2026.

Insurers have agreed to pay about $95.50 for this service. The price depends on where it is billed: about $100 from a physician practice, and about $93.33 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$100$83.18 to $115
FacilityA hospital or hospital-owned outpatient department$93.33$63.10 to $93.33

How much rates vary

Facilitymedian $93 · 10th to 90th $52 to $117Professionalmedian $100 · 10th to 90th $41 to $123
$50$100$200$500facility $93professional $100

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
$93.33
Median
$93.33
Typical High
$93.33
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$40.74
Median
$40.74
Typical High
$40.74
Cigna
Setting
Facility
Modifier
None
Typical Low
$117.49
Median
$117.49
Typical High
$117.49
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$70.79
Median
$100.00
Typical High
$117.49
Medica
Setting
Facility
Modifier
None
Typical Low
$52.48
Median
$63.10
Typical High
$102.33
Medica
Setting
Professional
Modifier
None (both parts)
Typical Low
$33.88
Median
$100.00
Typical High
$478.63
Midlands
Setting
Professional
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Sanford Health Plan
Setting
Professional
Modifier
None
Typical Low
$74.13
Median
$93.33
Typical High
$109.65
Sanford Health Plan
Setting
Professional
Modifier
26 · Professional part
Typical Low
$45.71
Median
$58.88
Typical High
$66.07
Sanford Health Plan
Setting
Professional
Modifier
TC · Technical part
Typical Low
$25.70
Median
$36.31
Typical High
$42.66
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$33.11
Median
$33.88
Typical High
$114.82
Wellmark
Setting
Professional
Modifier
None (both parts)
Typical Low
$112.20
Median
$123.03
Typical High
$123.03

Where South Dakota 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.

South Dakota· 7th of 51

$95.50

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.