go back

Needle Biopsy Without Imaging, First Site

New York 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?

$174

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $174 for this service. The price depends on where it is billed: about $123 from a physician practice, and about $3,090 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 10 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$123$85.11 to $191
FacilityA hospital or hospital-owned outpatient department$3,090$1,318 to $4,898

How much rates vary

Facilitymedian $3,090 · 10th to 90th $100 to $7,413Professionalmedian $123 · 10th to 90th $54 to $288
$50$200$1K$5Kfacility $3,090professional $123

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
$89.13
Median
$2,754.23
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$104.71
Typical High
$288.40
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$3,630.78
Typical High
$5,011.87
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$138.04
Typical High
$323.59
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$77.62
Typical High
$4,073.80
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$77.62
Typical High
$144.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$83.18
Typical High
$83.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$173.78
Typical High
$398.11
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$81.28
Typical High
$177.83
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$154.88
Typical High
$223.87
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$131.83
Typical High
$213.80
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$512.86
Typical High
$1,288.25
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$147.91
Typical High
$398.11
United
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$2,511.89
Typical High
$4,897.79
United
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$112.20
Typical High
$269.15
Univera
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$58.88
Typical High
$245.47
Univera
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$123.03
Typical High
$239.88

Where New York 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 York· 7th of 51

$174

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.