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Washington, DC rates for HCPCS G0416

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

Professionalmedian $219 · 10th–90th $102$5130%10%10th90th$219$50.0$100.0$200.0$500.0$1.0K

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
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $398.11 / $870.96
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$38.02 / $194.98 / $389.05
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$114.82 / $208.93 / $489.78
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $229.09 / $363.08
CareFirst
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$173.78 / $194.98 / $194.98
CareFirst
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$162.18 / $162.18 / $213.80
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $331.13 / $457.09
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$154.88 / $154.88 / $213.80
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$173.78 / $173.78 / $245.47
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$467.74 / $467.74 / $851.14
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$208.93 / $208.93 / $380.19
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$257.04 / $257.04 / $467.74
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $478.63 / $891.25
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$120.23 / $223.87 / $416.87
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$97.72 / $128.82 / $501.19