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Iowa rates for HCPCS G0416

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

Facilitymedian $631 · 10th–90th $525$1,4450%20%10th90th$631Professionalmedian $339 · 10th–90th $166$7590%10%10th90th$339$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$524.81 / $524.81 / $575.44
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $416.87 / $891.25
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$162.18 / $208.93 / $512.86
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$151.36 / $190.55 / $467.74
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$851.14 / $851.14 / $851.14
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$416.87 / $851.14 / $1,698.24
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$194.98 / $309.03 / $467.74
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$223.87 / $446.68 / $1,230.27
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $363.08 / $1,230.27
Hally Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$138.04 / $162.18 / $177.83
Hally Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$144.54 / $169.82 / $190.55
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$416.87 / $851.14 / $2,187.76
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$851.14 / $851.14 / $851.14
Medica
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$1,445.44 / $1,445.44 / $1,445.44
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $645.65 / $5,754.40
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$177.83 / $295.12 / $1,096.48
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$147.91 / $354.81 / $2,238.72
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$457.09 / $851.14 / $2,089.30
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$229.09 / $309.03 / $616.60
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$229.09 / $446.68 / $1,479.11
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$870.96 / $870.96 / $1,202.26
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$323.59 / $371.54 / $371.54
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$489.78 / $489.78 / $870.96
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $338.84 / $676.08
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$354.81 / $354.81 / $354.81
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $524.81 / $977.24
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$177.83 / $251.19 / $478.63
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$147.91 / $169.82 / $1,258.93
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$616.60 / $724.44 / $851.14
Wellmark
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$295.12 / $346.74 / $398.11
Wellmark
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$331.13 / $389.05 / $446.68