CPT 10009 Surgery - Integumentary

How Much Does Fna Biopsy with CT Gdn Initial Les Cost?

Also known as: Fna bx w/ct gdn 1st les (CPT 10009)

Fine needle aspiration biopsy with CT guidance.

The total estimated cost of Fna Biopsy with CT Gdn Initial Les (CPT 10009) is $224 to $363, including hospital fees, anesthesia, and supplies. The surgeon's Medicare fee alone is $93.

Total Estimated Cost of Care

$224 — $363

This estimate includes hospital facility fees, anesthesia, and supplies .

Surgeon/Physician Fee
$93
Hospital Facility Fee
$186
Important: The physician fee of $93 shown in the cost cards below is what Medicare pays the surgeon/doctor only. The hospital charges a separate facility fee that typically makes up 70-85% of the total cost.
Medicare Physician Fee (Facility Setting)
$93
Physician component only — CMS PFS 2026
Medicare Physician Fee (Office/Clinic)
$413
Non-facility setting

Patient Guide: Fna Biopsy with CT Gdn Initial Les

What you need to know before your appointment

What to Expect

Using CT to guide the needle, the doctor precisely targets a deep lesion to collect cells for analysis.

How Long Does It Take?

30-60 minutes

Common Reasons Doctors Order This

Deep organ biopsy (lung, liver, kidney), lymph node not accessible by other means, bone lesion

How to Prepare

Fast for 6 hours. Stop blood thinners. You will be monitored for 1-4 hours after depending on the biopsy site.

Procedures Commonly Done Together

These procedures are frequently performed alongside Fna bx w/ct gdn 1st les

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How to Reduce Your Cost for Fna bx w/ct gdn 1st les

Practical tips that can save you hundreds or thousands of dollars

  • 1
    Ask about cash-pay discounts

    Many hospitals and clinics offer 20-40% discounts for self-pay patients. Always ask before scheduling.

  • 2
    Compare facility vs. office setting costs

    For this procedure, the office rate ($413) differs from the facility rate ($93). Ask if it can be done in an office setting.

  • 3
    Shop around — costs vary significantly

    Costs can vary 2-3x between providers in the same city. Get quotes from multiple facilities.

How is the Price Calculated?

Medicare calculates procedure payments using Relative Value Units (RVUs). Each procedure has three components multiplied by a conversion factor ($33.40 in 2026) and adjusted by geographic cost indices.

2.20
Work RVU
0.36
Practice Expense RVU
0.23
Malpractice RVU
12.35
Total RVU

Payment = Total RVU (12.35) x CF ($33.40) = $412

Frequently Asked Questions

How much does Fna bx w/ct gdn 1st les cost?

The Medicare facility rate for Fna bx w/ct gdn 1st les is $93. Commercial insurance rates typically range from 150% to 250% of Medicare (varies by plan).

How much does Fna bx w/ct gdn 1st les cost without insurance?

Without insurance, the cost of Fna bx w/ct gdn 1st les can range from 150% of Medicare to 500% of Medicare depending on the facility. Many hospitals and clinics offer self-pay discounts of 20-40% off their chargemaster price. Always ask about cash pricing before your visit.

Does insurance cover Fna bx w/ct gdn 1st les?

Most commercial health insurance plans and Medicare cover Fna bx w/ct gdn 1st les when ordered by a physician for a medically necessary reason. Your out-of-pocket cost depends on your plan's deductible, copay/coinsurance structure, and whether you use an in-network provider. Check with your insurance company before scheduling to confirm coverage and get a cost estimate.

Why does the cost vary so much by location?

Medicare adjusts payments using Geographic Practice Cost Indices (GPCIs) that reflect local differences in physician work costs, practice expenses, and malpractice insurance. Manhattan, San Francisco, and other high-cost areas pay significantly more than rural regions. Commercial insurers follow similar geographic patterns.

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