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Massachusetts rates for HCPCS G0416

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

Facilitymedian $407 · 10th–90th $209$6310%10%20%10th90th$407Professionalmedian $372 · 10th–90th $162$8510%5%10th90th$372$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
$549.54 / $562.34 / $562.34
Aetna
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$588.84 / $588.84 / $588.84
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $512.86 / $1,148.15
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$151.36 / $234.42 / $602.56
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$154.88 / $371.54 / $851.14
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,238.72 / $2,238.72 / $2,238.72
AllWays Health Partners
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$1,096.48 / $1,096.48 / $1,096.48
AllWays Health Partners
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$1,445.44 / $1,445.44 / $1,445.44
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $691.83 / $5,754.40
AllWays Health Partners
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$131.83 / $257.04 / $1,096.48
AllWays Health Partners
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$173.78 / $371.54 / $2,344.23
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$389.05 / $389.05 / $389.05
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$446.68 / $758.58 / $1,000.00
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$199.53 / $338.84 / $446.68
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$245.47 / $416.87 / $562.34
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
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$204.17 / $302.00 / $588.84
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $316.23 / $616.60
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$389.05 / $741.31 / $1,023.29
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$199.53 / $354.81 / $478.63
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$229.09 / $398.11 / $575.44
Health New England
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $173.78 / $371.54
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,238.72 / $2,238.72 / $2,238.72
Mass General Brigham
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$1,096.48 / $1,096.48 / $1,096.48
Mass General Brigham
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$1,445.44 / $1,445.44 / $1,445.44
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $691.83 / $5,754.40
Mass General Brigham
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$131.83 / $257.04 / $1,096.48
Mass General Brigham
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$173.78 / $371.54 / $2,344.23
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $112.20 / $524.81
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $537.03 / $1,071.52
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$131.83 / $257.04 / $478.63
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$162.18 / $338.84 / $616.60