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Michigan rates for HCPCS G0416

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

Facilitymedian $3,236 · 10th–90th $257$4,3650%20%40%10th90th$3,236Professionalmedian $275 · 10th–90th $158$6170%10%10th90th$275$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
$257.04 / $3,235.94 / $4,365.16
Aetna
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$323.59 / $323.59 / $323.59
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $389.05 / $724.44
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$144.54 / $177.83 / $602.56
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$169.82 / $223.87 / $478.63
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$123.03 / $162.18 / $218.78
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $588.84 / $588.84
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$275.42 / $275.42 / $275.42
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $331.13 / $501.19
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$128.82 / $154.88 / $239.88
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$173.78 / $173.78 / $263.03
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$257.04 / $3,235.94 / $4,365.16
Health Alliance Plan
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$323.59 / $323.59 / $323.59
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $549.54 / $1,023.29
Health Alliance Plan
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$151.36 / $194.98 / $416.87
Health Alliance Plan
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$169.82 / $316.23 / $630.96
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $331.13 / $389.05
Priority Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$102.33 / $154.88 / $154.88
Priority Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$173.78 / $173.78 / $263.03
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $467.74 / $812.83
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$112.20 / $186.21 / $416.87
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$102.33 / $288.40 / $501.19