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On-The-Spot Check Of A Needle Biopsy Sample

West Virginia 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 West Virginia, October 2026.

Insurers have agreed to pay about $50.12 for this service. The price depends on where it is billed: about $52.48 from a physician practice, and about $45.71 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$52.48$35.48 to $89.13
FacilityA hospital or hospital-owned outpatient department$45.71$45.71 to $51.29

How much rates vary

Facilitymedian $46 · 10th to 90th $41 to $63Professionalmedian $52 · 10th to 90th $26 to $110
$20$50$100$200$500facility $46professional $52

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
$45.71
Median
$45.71
Typical High
$45.71
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$41.69
Median
$42.66
Typical High
$48.98
CareSource
Setting
Professional
Modifier
None (both parts)
Typical Low
$22.39
Median
$38.02
Typical High
$83.18
Cigna
Setting
Facility
Modifier
None
Typical Low
$17.78
Median
$51.29
Typical High
$63.10
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$25.70
Median
$89.13
Typical High
$263.03
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$16.22
Median
$61.66
Typical High
$158.49
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$9.33
Median
$28.84
Typical High
$102.33
Highmark BCBS
Setting
Facility
Modifier
TC · Technical part
Typical Low
$79.43
Median
$269.15
Typical High
$812.83
Highmark BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$37.15
Median
$43.65
Typical High
$64.57
United
Setting
Facility
Modifier
None
Typical Low
$478.63
Median
$478.63
Typical High
$478.63
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$28.84
Median
$69.18
Typical High
$109.65
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$19.05
Median
$44.67
Typical High
$66.07
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$10.00
Median
$22.39
Typical High
$43.65

Where West Virginia 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.

West Virginia· 39th 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.