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Virginia rates for HCPCS G0416

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

Facilitymedian $427 · 10th–90th $224$7940%5%10th90th$427Professionalmedian $219 · 10th–90th $100$5250%5%10%10th90th$219$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $398.11 / $724.44
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$91.20 / $186.21 / $512.86
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$158.49 / $218.78 / $478.63
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $173.78 / $363.08
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$74.13 / $74.13 / $147.91
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$100.00 / $100.00 / $199.53
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $354.81 / $407.38
CareFirst
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$186.21 / $204.17 / $223.87
CareFirst
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$173.78 / $186.21 / $223.87
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $446.68 / $501.19
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$165.96 / $199.53 / $234.42
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$186.21 / $239.88 / $281.84
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$309.03 / $537.03 / $1,318.26
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $331.13 / $331.13
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$190.55 / $380.19 / $707.95
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $588.84 / $812.83
Sentara
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$177.83 / $269.15 / $407.38
Sentara
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$239.88 / $338.84 / $467.74
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $478.63 / $1,023.29
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
$97.72 / $323.59 / $758.58