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Rhode Island rates for HCPCS G0416

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

Facilitymedian $871 · 10th–90th $355$3,2360%10%20%10th90th$871Professionalmedian $417 · 10th–90th $166$8710%10%10th90th$417$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$676.08 / $1,230.27 / $1,230.27
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$194.98 / $354.81 / $354.81
Aetna
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$478.63 / $870.96 / $3,235.94
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $630.96 / $1,905.46
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$162.18 / $323.59 / $562.34
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$234.42 / $467.74 / $1,202.26
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$323.59 / $354.81 / $676.08
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $363.08 / $489.78
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$120.23 / $128.82 / $239.88
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$134.90 / $144.54 / $194.98
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$524.81 / $524.81 / $524.81
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $331.13 / $363.08
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$154.88 / $154.88 / $295.12
Cigna
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
$302.00 / $426.58 / $758.58
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$89.13 / $190.55 / $288.40
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$169.82 / $234.42 / $478.63