go back

Utah rates for HCPCS G0416

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

Professionalmedian $229 · 10th–90th $145$5130%10%10th90th$229$50.0$100.0$200.0$500.0$1.0K

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
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $398.11 / $707.95
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$141.25 / $169.82 / $416.87
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$154.88 / $229.09 / $489.78
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
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $33.11
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $457.09 / $954.99
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$177.83 / $218.78 / $281.84
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$186.21 / $234.42 / $660.69
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $512.86 / $588.84
Select Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$169.82 / $245.47 / $288.40
Select Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$199.53 / $263.03 / $309.03
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $323.59 / $630.96
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $363.08 / $691.83
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$102.33 / $117.49 / $288.40
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$97.72 / $190.55 / $323.59