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Needle Biopsy Without Imaging, First Site

Virginia 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?

$107

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $107 for this service. The price depends on where it is billed: about $105 from a physician practice, and about $234 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 8 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$105$64.57 to $148
FacilityA hospital or hospital-owned outpatient department$234$97.72 to $2,630

How much rates vary

Facilitymedian $234 · 10th to 90th $63 to $5,754Professionalmedian $105 · 10th to 90th $54 to $209
$50$200$1K$5Kfacility $234professional $105

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
$77.62
Median
$1,096.48
Typical High
$7,079.46
Aetna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$104.71
Typical High
$218.78
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$2,570.40
Typical High
$2,951.21
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$97.72
Typical High
$162.18
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$79.43
Typical High
$1,047.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$114.82
Typical High
$194.98
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$117.49
Typical High
$316.23
Medcost
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$229.09
Typical High
$239.88
Medcost
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$109.65
Typical High
$218.78
Sentara
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$83.18
Typical High
$1,479.11
Sentara
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$158.49
Typical High
$1,479.11
United
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$1,122.02
Typical High
$2,454.71
United
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$100.00
Typical High
$190.55

Where Virginia 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.

Virginia· 42nd of 51

$107

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.