Fine needle aspiration biopsy using ultrasound guidance, first growth
Medicare pricing data for 14,874 providers across 52 states
Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.
💡 What You Should Know
Fine needle aspiration biopsy using ultrasound guidance, first growth (HCPCS code 10005) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $99.87, but hospitals typically charge $436.61 — a 4.4x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $99.87, your out-of-pocket cost would be approximately $19.97. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 4.4x more than what Medicare allows for this procedure. Medicare actually pays $76.47 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| New York | $127 | $591 | 928 | 12,039 | +26.7% |
| New Jersey | $116 | $466 | 438 | 4,572 | +16.1% |
| California | $115 | $507 | 1,332 | 13,355 | +15.5% |
| Alaska | $114 | $648 | 56 | 372 | +14.3% |
| Nevada | $113 | $393 | 127 | 1,251 | +12.9% |
| District of Columbia | $112 | $265 | 52 | 521 | +12.3% |
| Delaware | $109 | $446 | 42 | 683 | +9.0% |
| Arizona | $109 | $451 | 275 | 2,787 | +8.9% |
| Florida | $109 | $413 | 1,027 | 9,667 | +8.7% |
| Maryland | $107 | $318 | 268 | 2,990 | +7.0% |
| Tennessee | $104 | $388 | 329 | 3,191 | +4.1% |
| Connecticut | $102 | $367 | 182 | 1,318 | +2.4% |
| Georgia | $100 | $625 | 403 | 3,375 | +0.4% |
| Massachusetts | $98 | $366 | 405 | 4,229 | -2.0% |
| Puerto Rico | $97 | $133 | 33 | 248 | -3.3% |
| Virginia | $96 | $336 | 396 | 3,751 | -3.9% |
| Texas | $95 | $478 | 1,119 | 9,172 | -4.6% |
| Mississippi | $95 | $279 | 128 | 824 | -4.9% |
| Nebraska | $94 | $470 | 105 | 852 | -5.5% |
| North Carolina | $94 | $401 | 578 | 4,194 | -5.6% |
| Rhode Island | $94 | $343 | 73 | 503 | -5.8% |
| Alabama | $94 | $237 | 210 | 1,328 | -6.3% |
| Arkansas | $94 | $282 | 128 | 1,103 | -6.4% |
| Kansas | $93 | $329 | 134 | 1,124 | -6.9% |
| Washington | $93 | $336 | 348 | 2,508 | -7.0% |
| Utah | $93 | $268 | 134 | 928 | -7.3% |
| Oregon | $92 | $308 | 230 | 1,546 | -7.9% |
| Illinois | $92 | $426 | 608 | 5,808 | -8.0% |
| Wyoming | $91 | $397 | 42 | 316 | -9.0% |
| Louisiana | $90 | $413 | 197 | 1,381 | -9.9% |
| New Hampshire | $89 | $437 | 111 | 718 | -10.8% |
| Indiana | $89 | $344 | 272 | 2,534 | -11.1% |
| New Mexico | $88 | $574 | 105 | 797 | -11.8% |
| Ohio | $87 | $426 | 474 | 3,288 | -12.5% |
| Oklahoma | $86 | $354 | 166 | 1,767 | -14.1% |
| Michigan | $86 | $272 | 463 | 3,400 | -14.3% |
| Montana | $86 | $281 | 60 | 385 | -14.3% |
| Iowa | $85 | $358 | 162 | 1,324 | -15.3% |
| Colorado | $84 | $400 | 270 | 1,824 | -15.5% |
| Hawaii | $84 | $270 | 36 | 264 | -15.7% |
| South Dakota | $84 | $314 | 69 | 533 | -15.8% |
| Wisconsin | $84 | $778 | 336 | 2,262 | -16.2% |
| Missouri | $84 | $330 | 278 | 2,374 | -16.4% |
| Pennsylvania | $83 | $529 | 621 | 5,595 | -16.9% |
| South Carolina | $83 | $411 | 213 | 2,357 | -17.0% |
| Minnesota | $82 | $409 | 360 | 2,183 | -18.0% |
| Kentucky | $80 | $274 | 194 | 1,259 | -19.7% |
| Maine | $76 | $238 | 91 | 516 | -23.5% |
| West Virginia | $75 | $282 | 86 | 830 | -25.2% |
| Idaho | $74 | $354 | 98 | 402 | -25.9% |
| Vermont | $72 | $349 | 30 | 251 | -27.7% |
| North Dakota | $70 | $532 | 34 | 329 | -29.7% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber