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Florida rates for HCPCS G0416

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

Facilitymedian $407 · 10th–90th $407$9770%20%40%90th$407Professionalmedian $275 · 10th–90th $148$5750%10%10th90th$275$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0K

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
26
Typical Low / Median / Typical High
$407.38 / $407.38 / $407.38
Aetna
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$977.24 / $977.24 / $977.24
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $398.11 / $870.96
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$138.04 / $177.83 / $467.74
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$147.91 / $213.80 / $478.63
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $181.97 / $263.03
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$83.18 / $165.96 / $288.40
AvMed
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $407.38 / $512.86
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $331.13 / $331.13
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$154.88 / $154.88 / $154.88
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$173.78 / $173.78 / $173.78
Florida Blue
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $524.81 / $1,148.15
Florida Blue
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$131.83 / $194.98 / $354.81
Florida Blue
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$208.93 / $398.11 / $812.83
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $218.78
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$70.79 / $147.91 / $389.05
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $316.23 / $794.33
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$85.11 / $114.82 / $371.54
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$89.13 / $158.49 / $389.05
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $173.78 / $363.08
Wellpoint
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$74.13 / $74.13 / $169.82
Wellpoint
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$100.00 / $100.00 / $194.98