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Missouri rates for HCPCS G0416

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

Facilitymedian $562 · 10th–90th $182$1,4450%10%10th90th$562Professionalmedian $234 · 10th–90th $155$6030%10%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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $363.08 / $758.58
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$158.49 / $199.53 / $389.05
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$169.82 / $186.21 / $645.65
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$87.10 / $87.10 / $87.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $354.81 / $707.95
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$72.44 / $154.88 / $257.04
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$100.00 / $194.98 / $501.19
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $575.44 / $812.83
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$158.49 / $213.80 / $275.42
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$169.82 / $302.00 / $794.33
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $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
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$346.74 / $562.34 / $2,089.30
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
$208.93 / $549.54 / $5,754.40
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$112.20 / $190.55 / $1,096.48
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$97.72 / $281.84 / $2,238.72
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$83.18 / $93.33 / $177.83
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $371.54 / $741.31
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$112.20 / $186.21 / $354.81
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$97.72 / $162.18 / $436.52