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Kentucky rates for HCPCS G0416

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

Facilitymedian $209 · 10th–90th $40$3240%10%10th90th$209Professionalmedian $234 · 10th–90th $148$5620%10%20%10th90th$234$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
Typical Low / Median / Typical High
$323.59 / $323.59 / $323.59
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$162.18 / $162.18 / $162.18
Aetna
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$162.18 / $162.18 / $162.18
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $371.54 / $758.58
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$151.36 / $181.97 / $371.54
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$154.88 / $218.78 / $446.68
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $173.78 / $758.58
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$74.13 / $74.13 / $173.78
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$323.59 / $380.19 / $380.19
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$851.14 / $851.14 / $851.14
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$39.81 / $186.21 / $269.15
Cigna
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$44.67 / $208.93 / $302.00
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $416.87 / $2,238.72
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$154.88 / $154.88 / $812.83
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$173.78 / $223.87 / $912.01
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$158.49 / $234.42 / $389.05
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $524.81 / $741.31
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$138.04 / $181.97 / $346.74
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$141.25 / $245.47 / $416.87