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New Jersey rates for HCPCS G0416

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

Facilitymedian $13,804 · 10th–90th $1,778$19,4980%20%10th90th$13,804Professionalmedian $269 · 10th–90th $145$5620%5%10%10th90th$269$50.0$200.0$1.0K$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
$302.00 / $416.87 / $812.83
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$120.23 / $190.55 / $398.11
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$154.88 / $234.42 / $524.81
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
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $501.19 / $707.95
Emblem Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$162.18 / $229.09 / $331.13
Emblem Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$194.98 / $269.15 / $380.19
Horizon BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,778.28 / $13,803.84 / $19,498.45
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $338.84 / $794.33
Horizon BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$144.54 / $169.82 / $275.42
Horizon BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$138.04 / $162.18 / $501.19
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $346.74 / $724.44
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$83.18 / $154.88 / $251.19
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$89.13 / $181.97 / $446.68