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North Carolina rates for HCPCS G0416

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

Facilitymedian $339 · 10th–90th $166$1,6600%10%10th90th$339Professionalmedian $275 · 10th–90th $155$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
$229.09 / $446.68 / $1,659.59
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$173.78 / $173.78 / $263.03
Aetna
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$165.96 / $165.96 / $245.47
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $338.84 / $691.83
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$144.54 / $218.78 / $602.56
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$138.04 / $165.96 / $446.68
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$81.28 / $229.09 / $309.03
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$147.91 / $269.15 / $363.08
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$158.49 / $316.23 / $724.44
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
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,000.00 / $1,000.00 / $1,148.15
Medcost
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$323.59 / $323.59 / $338.84
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$338.84 / $489.78 / $1,174.90
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $331.13 / $331.13
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $275.42 / $575.44
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $371.54 / $977.24
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$102.33 / $169.82 / $346.74
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$104.71 / $229.09 / $691.83
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,238.72 / $2,238.72 / $2,238.72
Wellcare
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$1,096.48 / $1,096.48 / $1,096.48
Wellcare
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$1,445.44 / $1,445.44 / $1,445.44
Wellcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,754.40 / $5,754.40 / $5,754.40
Wellcare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$1,096.48 / $1,096.48 / $1,380.38
Wellcare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$1,778.28 / $2,344.23 / $2,344.23