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Needle Biopsy Without Imaging, First Site

Ohio 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?

$135

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $135 for this service. The price depends on where it is billed: about $107 from a physician practice, and about $1,259 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$107$69.18 to $158
FacilityA hospital or hospital-owned outpatient department$1,259$355 to $2,818

How much rates vary

Facilitymedian $1,259 · 10th to 90th $95 to $8,913Professionalmedian $107 · 10th to 90th $51 to $372
$50$200$1K$5Kfacility $1,259professional $107

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
$1,202.26
Typical High
$9,549.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$100.00
Typical High
$2,187.76
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$114.82
Typical High
$114.82
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$2,137.96
Typical High
$3,981.07
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$114.82
Typical High
$204.17
CareSource
Setting
Facility
Modifier
Global
Typical Low
$17.38
Median
$54.95
Typical High
$85.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$45.71
Median
$83.18
Typical High
$21,379.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$112.20
Typical High
$204.17
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$794.33
Typical High
$831.76
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$112.20
Typical High
$213.80
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$46.77
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$100.00
Typical High
$194.98
United
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$870.96
Typical High
$2,818.38
United
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$97.72
Typical High
$177.83

Where Ohio 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.

Ohio· 19th of 51

$135

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.