Evaluation of fine needle aspirate
Medicare pricing data for 5,210 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
Evaluation of fine needle aspirate (HCPCS code 88172) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $37.22, but hospitals typically charge $155.96 — a 4.2x 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 $37.22, your out-of-pocket cost would be approximately $7.44. 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 4.2x more than what Medicare allows for this procedure. Medicare actually pays $29.38 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| New York | $47 | $148 | 278 | 11,056 | +25.0% |
| Alaska | $46 | $260 | 3 | 53 | +24.7% |
| Delaware | $45 | $126 | 24 | 785 | +20.2% |
| Puerto Rico | $42 | $43 | 21 | 320 | +11.6% |
| California | $40 | $154 | 508 | 11,665 | +8.5% |
| District of Columbia | $40 | $123 | 18 | 861 | +8.1% |
| Rhode Island | $40 | $97 | 15 | 193 | +7.3% |
| Virginia | $39 | $148 | 125 | 2,941 | +5.3% |
| Oklahoma | $39 | $132 | 30 | 889 | +4.6% |
| Tennessee | $39 | $129 | 134 | 3,482 | +3.8% |
| Arizona | $39 | $94 | 103 | 2,166 | +3.8% |
| New Jersey | $38 | $207 | 112 | 2,991 | +2.6% |
| Florida | $38 | $143 | 310 | 5,809 | +2.1% |
| Oregon | $38 | $108 | 53 | 901 | +2.1% |
| Massachusetts | $37 | $135 | 153 | 2,992 | -1.6% |
| Connecticut | $37 | $168 | 73 | 790 | -1.7% |
| Maryland | $36 | $127 | 101 | 1,829 | -2.6% |
| Hawaii | $36 | $86 | 29 | 637 | -3.0% |
| Washington | $36 | $112 | 150 | 2,017 | -3.1% |
| Indiana | $36 | $166 | 102 | 2,883 | -3.1% |
| Texas | $36 | $230 | 431 | 9,827 | -4.5% |
| Ohio | $36 | $160 | 241 | 5,161 | -4.5% |
| New Hampshire | $35 | $185 | 17 | 339 | -5.1% |
| Mississippi | $35 | $133 | 42 | 528 | -5.4% |
| Colorado | $35 | $124 | 128 | 3,371 | -5.5% |
| Pennsylvania | $35 | $144 | 258 | 6,007 | -6.3% |
| Illinois | $35 | $192 | 272 | 8,580 | -6.7% |
| North Dakota | $35 | $111 | 22 | 583 | -6.8% |
| Nevada | $35 | $138 | 35 | 584 | -7.0% |
| Montana | $34 | $85 | 24 | 402 | -7.4% |
| North Carolina | $34 | $148 | 129 | 3,211 | -7.6% |
| Georgia | $34 | $138 | 142 | 2,422 | -7.8% |
| Wyoming | $34 | $165 | 8 | 105 | -7.8% |
| Missouri | $34 | $142 | 109 | 1,957 | -8.1% |
| Vermont | $34 | $166 | 15 | 589 | -8.3% |
| Michigan | $34 | $149 | 138 | 2,401 | -8.5% |
| Wisconsin | $34 | $312 | 92 | 1,463 | -8.6% |
| Minnesota | $34 | $135 | 90 | 1,018 | -8.6% |
| Maine | $34 | $109 | 28 | 521 | -8.7% |
| Iowa | $34 | $143 | 70 | 2,201 | -8.7% |
| South Dakota | $34 | $158 | 31 | 572 | -9.0% |
| New Mexico | $34 | $108 | 31 | 359 | -9.1% |
| Nebraska | $34 | $151 | 29 | 621 | -9.5% |
| Utah | $34 | $119 | 36 | 418 | -9.9% |
| Kentucky | $33 | $118 | 97 | 1,823 | -10.5% |
| South Carolina | $33 | $162 | 92 | 3,109 | -10.6% |
| Kansas | $33 | $143 | 50 | 431 | -10.7% |
| Arkansas | $33 | $113 | 37 | 640 | -10.9% |
| West Virginia | $33 | $145 | 26 | 239 | -11.4% |
| Louisiana | $33 | $110 | 70 | 1,212 | -11.5% |
| Alabama | $33 | $131 | 48 | 786 | -11.7% |
| Idaho | $33 | $147 | 12 | 276 | -11.8% |
⚠️ 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