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Needle Biopsy Without Imaging, First Site

North Carolina 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?

$117

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $117 for this service. The price depends on where it is billed: about $110 from a physician practice, and about $316 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 7 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$110$69.18 to $214
FacilityA hospital or hospital-owned outpatient department$316$100 to $692

How much rates vary

Facilitymedian $316 · 10th to 90th $59 to $2,089Professionalmedian $110 · 10th to 90th $54 to $316
$20$100$500$2Kfacility $316professional $110

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
$72.44
Median
$354.81
Typical High
$4,265.80
Aetna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$104.71
Typical High
$288.40
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$70.79
Typical High
$120.23
BCBS
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$186.21
Typical High
$331.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$138.04
Typical High
$239.88
Medcost
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$102.33
Typical High
$223.87
Medcost
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$251.19
United
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$891.25
Typical High
$2,089.30
United
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$109.65
Typical High
$199.53
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$1,288.25
Typical High
$1,288.25
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$724.44
Typical High
$851.14

Where North Carolina 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.

North Carolina· 29th of 51

$117

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.