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Vermont rates for HCPCS G0416

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

Facilitymedian $1,698 · 10th–90th $1,698$2,8840%20%40%90th$1,698Professionalmedian $372 · 10th–90th $162$6920%10%20%10th90th$372$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
Facility
Modifier
Typical Low / Median / Typical High
$1,698.24 / $1,698.24 / $2,884.03
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$512.86 / $630.96 / $691.83
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$162.18 / $199.53 / $371.54
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$363.08 / $467.74 / $489.78
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $457.09 / $524.81
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $331.13 / $524.81
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$128.82 / $154.88 / $251.19
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$173.78 / $173.78 / $269.15
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $363.08 / $645.65
MVP Health Care
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$169.82 / $169.82 / $251.19
MVP Health Care
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$181.97 / $190.55 / $467.74
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $436.52 / $891.25
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$112.20 / $213.80 / $269.15
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$97.72 / $218.78 / $562.34