Fine needle biopsy of additional lesions

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

HC FINE NDL ASPIRATION BIOPSY W/O IMAGING GUID EA ADDL LESION

Payers reporting CPT 10004

64 payers file a negotiated rate for this code. Each is shown once, under the terms the most hospitals file it under; rates under different terms (billing class, payment method, setting) are never blended, so open a payer to see them all. Figures are hospital-level averages; the median is across hospitals.

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1	UnitedHealthcare case rate · outpatient · +35 other terms	385	$1,675	$1,826	$1.00 – $22,403
2	Aetna case rate · outpatient · +31 other terms	280	$2,433	$2,916	$45.50 – $16,800
3	Cigna case rate · outpatient · +27 other terms	125	$7,480	$9,165	$0.62 – $40,673
4	Blue Cross Blue Shield facility · fee schedule · outpatient · +29 other terms	102	$99.31	$557.61	$0.01 – $22,000
5	Humana fee schedule · outpatient · +26 other terms	88	$49.72	$450.54	$1.10 – $6,955
6	Anthem fee schedule · outpatient · +21 other terms	85	$48.01	$133.42	$41.32 – $1,228
7	Molina case rate · outpatient · +24 other terms	82	$2,702	$2,166	$48.01 – $3,242
8	Oscar case rate · outpatient · +16 other terms	56	$3,569	$4,515	$3,346 – $7,276
9	Kaiser fee schedule · outpatient · +20 other terms	50	$52.38	$126.01	$17.00 – $654.50
10	Healthcare Highways case rate · outpatient · +2 other terms	42	$5,841	$7,690	$2,069 – $14,612
11	WellCare fee schedule · both · +17 other terms	39	$38.78	$74.53	$32.23 – $446.75
12	Baylor Scott White Health Plan facility · percent of total billed charges · outpatientfrom % of charges	26	$188.43	$158.79	$46.84 – $203.70
13	Medica fee schedule · outpatient · +16 other terms	23	$80.43	$276.01	$25.08 – $993.51
14	Devoted fee schedule · outpatient · +11 other terms	22	$52.38	$58.32	$41.32 – $319.03
15	Caresource facility · case rate · outpatient · +13 other terms	21	$333.72	$300.39	$47.90 – $602.21
16	Regence professional · fee schedule · outpatient · +11 other terms	20	$45.40	$48.09	$41.32 – $126.16
17	Amerihealth Caritas facility · fee schedule · outpatient · +10 other terms	19	$42.62	$86.00	$39.78 – $502.99
18	Bcbs La fee schedule · outpatient · +2 other terms	19	$241.47	$240.37	$0.02 – $335.12
19	Highmark facility · fee schedule · outpatient · +13 other terms	19	$42.62	$161.22	$32.06 – $873.90
20	Beechstreet percent of total billed charges · outpatientfrom % of charges · +2 other terms	18	$749.52	$738.69	$612.80 – $799.49
21	First Health fee schedule · outpatient · +18 other terms	18	$591.75	$2,407	$42.94 – $7,246
22	Medicaid fee schedule · outpatient · +11 other terms	18	$48.53	$77.09	$1.00 – $581.44
23	Medicare fee schedule · outpatient · +11 other terms	18	$41.32	$40.62	$38.21 – $42.16
24	MultiPlan fee schedule · outpatient · +19 other terms	17	$529.53	$482.47	$53.58 – $738.65
25	Aetna Better Health professional · fee schedule · both · +18 other terms	14	$47.10	$51.78	$28.70 – $94.41

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