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Ohio rates for HCPCS G0416

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

Facilitymedian $389 · 10th–90th $158$3980%20%40%10th90th$389Professionalmedian $288 · 10th–90th $148$6460%10%10th90th$288$50.0$100.0$200.0$500.0$1.0K$2.0K

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
$295.12 / $338.84 / $758.58
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$144.54 / $165.96 / $363.08
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$147.91 / $208.93 / $512.86
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$81.28 / $102.33 / $229.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$389.05 / $660.69 / $1,288.25
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$162.18 / $204.17 / $407.38
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$204.17 / $446.68 / $912.01
Aultcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $363.08 / $380.19
Aultcare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$162.18 / $177.83 / $186.21
Aultcare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$169.82 / $186.21 / $194.98
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$398.11 / $398.11 / $398.11
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
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$398.11 / $398.11 / $398.11
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $323.59 / $323.59
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$97.72 / $154.88 / $239.88
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$173.78 / $173.78 / $173.78
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $33.11
SummaCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $446.68 / $870.96
SummaCare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$162.18 / $218.78 / $281.84
SummaCare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$173.78 / $229.09 / $549.54
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$158.49 / $234.42 / $398.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $371.54 / $707.95
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$109.65 / $186.21 / $371.54
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$89.13 / $173.78 / $436.52