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Nationwide rates for HCPCS G0416

Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method

Facilitymedian $525 · 10th–90th $214$1,6600%10%10th90th$525Professionalmedian $288 · 10th–90th $148$6760%10%20%10th90th$288$1.0$5.0$20.0$100.0$500.0$2.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$257.04 / $630.96 / $4,168.69
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$177.83 / $354.81 / $707.95
Aetna
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$194.98 / $588.84 / $977.24
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $398.11 / $891.25
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$141.25 / $181.97 / $512.86
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$151.36 / $218.78 / $524.81
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $436.52 / $1,202.26
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$74.13 / $173.78 / $407.38
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$100.00 / $316.23 / $776.25
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$281.84 / $851.14 / $2,754.23
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$39.81 / $213.80 / $741.31
Cigna
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$44.67 / $239.88 / $851.14
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $331.13 / $524.81
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$154.88 / $154.88 / $245.47
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$173.78 / $173.78 / $281.84
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $229.09 / $407.38
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $398.11 / $933.25
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$102.33 / $186.21 / $416.87
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$97.72 / $223.87 / $537.03