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Needle Biopsy Without Imaging, First Site

New Jersey 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?

$110

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $110 for this service. The price depends on where it is billed: about $97.72 from a physician practice, and about $4,467 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 6 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$97.72$58.88 to $148
FacilityA hospital or hospital-owned outpatient department$4,467$1,778 to $6,457

How much rates vary

Facilitymedian $4,467 · 10th to 90th $132 to $10,233Professionalmedian $98 · 10th to 90th $48 to $389
$50$200$1K$5Kfacility $4,467professional $98

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
$109.65
Median
$4,466.84
Typical High
$10,232.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$93.33
Typical High
$524.81
AmeriHealth
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$2,344.23
Typical High
$11,220.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$131.83
Typical High
$302.00
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$120.23
Typical High
$190.55
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$1,288.25
Typical High
$2,041.74
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$104.71
Typical High
$275.42
United
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$2,754.23
Typical High
$6,760.83
United
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$85.11
Typical High
$199.53

Where New Jersey 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.

New Jersey· 39th of 51

$110

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.