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Needle Biopsy Without Imaging, First Site

Massachusetts 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 July 2026.

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

$123

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $123 for this service. The price depends on where it is billed: about $120 from a physician practice, and about $871 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 9 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$120$74.13 to $200
FacilityA hospital or hospital-owned outpatient department$871$81.28 to $2,344

How much rates vary

Facilitymedian $871 · 10th to 90th $63 to $3,388Professionalmedian $120 · 10th to 90th $56 to $295
$50$100$200$500$1K$2K$5Kfacility $871professional $120

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$2,089.30
Typical High
$3,715.35
Aetna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$114.82
Typical High
$512.86
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$676.08
Typical High
$2,754.23
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$117.49
Typical High
$295.12
BCBS
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$63.10
Typical High
$147.91
BCBS
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$120.23
Typical High
$223.87
Cigna
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$50.12
Cigna
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$154.88
Typical High
$288.40
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$67.61
Typical High
$3,630.78
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$141.25
Typical High
$199.53
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$2,041.74
Typical High
$3,467.37
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$123.03
Typical High
$263.03
Health New England
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$213.80
Typical High
$630.96
Health New England
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$812.83
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$676.08
Typical High
$2,754.23
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$117.49
Typical High
$295.12
United
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$1,698.24
Typical High
$2,754.23
United
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$131.83
Typical High
$281.84

Where Massachusetts sits

The same service costs 3.5 times more in California than in Delaware. 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.

Massachusetts· 26th of 51

$123

CA $324DE $91.20

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.