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Needle Biopsy Without Imaging, First Site

Washington, DC rates for HCPCS 10021

This is a fine-needle biopsy in which a thin needle is used to draw out a small sample of cells from a lump or area of concern for laboratory analysis, done by feel rather than with the help of ultrasound or other imaging. It covers the first site sampled during a visit. Additional sites, if sampled, are handled separately.

Rates data updated October 2026.

How much does Needle Biopsy Without Imaging, First Site cost?

$107

Typical physician fee. In Washington, DC, October 2026.

Insurers have agreed to pay about $107 for this service. Most negotiated rates run $57.54 to $263.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $1,413 · 10th to 90th $102 to $4,074Professionalmedian $105 · 10th to 90th $54 to $316
$100$200$500$1K$2K$5Kfacility $1,413professional $105

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$53.70
Median
$1,698.24
Typical High
$4,073.80
Aetna
Setting
Professional
Modifier
None
Typical Low
$53.70
Median
$104.71
Typical High
$263.03
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$26.92
Median
$31.62
Typical High
$52.48
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$10.96
Median
$12.59
Typical High
$20.89
Aetna
Setting
Professional
Modifier
54 · Surgery only
Typical Low
$40.74
Median
$46.77
Typical High
$79.43
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$8.13
Median
$15.49
Typical High
$15.85
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$5.37
Median
$10.23
Typical High
$10.47
CareFirst
Setting
Professional
Modifier
None
Typical Low
$51.29
Median
$57.54
Typical High
$645.65
Cigna
Setting
Professional
Modifier
None
Typical Low
$56.23
Median
$109.65
Typical High
$275.42
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$109.65
Median
$114.82
Typical High
$234.42
United
Setting
Facility
Modifier
None
Typical Low
$109.65
Median
$549.54
Typical High
$1,548.82
United
Setting
Professional
Modifier
None
Typical Low
$54.95
Median
$128.82
Typical High
$281.84

Where Washington, DC sits

The same service costs 2.8 times more in Alaska than in Pennsylvania. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Washington, DC· 33rd of 51

$107

AK $257PA $93.33

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.