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Needle Biopsy Without Imaging, First Site

Michigan 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?

$115

Typical negotiated rate. In Michigan, October 2026.

Insurers have agreed to pay about $115 for this service. The price depends on where it is billed: about $95.50 from a physician practice, and about $427 from a hospital or other facility.

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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$95.50$64.57 to $126
FacilityA hospital or hospital-owned outpatient department$427$151 to $589

How much rates vary

Facilitymedian $427 · 10th to 90th $91 to $891Professionalmedian $95 · 10th to 90th $48 to $170
$10$50$200$1K$5Kfacility $427professional $95

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$66.07
Median
$117.49
Typical High
$4,897.79
Aetna
Setting
Professional
Modifier
None
Typical Low
$66.07
Median
$97.72
Typical High
$123.03
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$33.11
Median
$42.66
Typical High
$58.88
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$13.18
Median
$17.38
Typical High
$23.44
Aetna
Setting
Professional
Modifier
54 · Surgery only
Typical Low
$50.12
Median
$64.57
Typical High
$89.13
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$10.00
Median
$12.88
Typical High
$17.78
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$6.61
Median
$8.51
Typical High
$11.75
BCBS Michigan
Setting
Facility
Modifier
None
Typical Low
$426.58
Median
$436.52
Typical High
$741.31
BCBS Michigan
Setting
Professional
Modifier
None
Typical Low
$8.91
Median
$56.23
Typical High
$123.03
Cigna
Setting
Professional
Modifier
None
Typical Low
$57.54
Median
$102.33
Typical High
$190.55
Health Alliance Plan
Setting
Facility
Modifier
None
Typical Low
$83.18
Median
$147.91
Typical High
$2,041.74
Health Alliance Plan
Setting
Professional
Modifier
None
Typical Low
$64.57
Median
$117.49
Typical High
$190.55
Health Alliance Plan
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$32.36
Median
$38.02
Typical High
$58.88
Health Alliance Plan
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$12.88
Median
$15.14
Typical High
$23.44
Health Alliance Plan
Setting
Professional
Modifier
54 · Surgery only
Typical Low
$48.98
Median
$56.23
Typical High
$89.13
Health Alliance Plan
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$9.77
Median
$11.48
Typical High
$17.78
Health Alliance Plan
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$6.46
Median
$7.59
Typical High
$11.75
Priority Health
Setting
Professional
Modifier
None
Typical Low
$58.88
Median
$77.62
Typical High
$158.49
United
Setting
Facility
Modifier
None
Typical Low
$91.20
Median
$177.83
Typical High
$1,202.26
United
Setting
Professional
Modifier
None
Typical Low
$72.44
Median
$114.82
Typical High
$181.97

Where Michigan 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.

Michigan· 25th of 51

$115

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.