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Maryland rates for HCPCS G0416

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

Professionalmedian $219 · 10th–90th $126$6030%10%10th90th$219$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
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $398.11 / $1,148.15
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$91.20 / $186.21 / $389.05
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$138.04 / $218.78 / $524.81
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $331.13 / $371.54
CareFirst
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$173.78 / $194.98 / $223.87
CareFirst
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$162.18 / $162.18 / $204.17
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$380.19 / $457.09 / $588.84
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$173.78 / $208.93 / $263.03
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$204.17 / $245.47 / $323.59
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $371.54 / $676.08
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$114.82 / $147.91 / $275.42
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$114.82 / $177.83 / $407.38
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$467.74 / $537.03 / $588.84
Wellpoint
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$208.93 / $251.19 / $263.03
Wellpoint
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$257.04 / $288.40 / $323.59