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Needle Biopsy Without Imaging, First Site

Vermont 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?

$141

Typical physician fee. In Vermont, July 2026.

Insurers have agreed to pay about $141 for this service. Most negotiated rates run $75.86 to $158.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $355 · 10th to 90th $355 to $457Professionalmedian $141 · 10th to 90th $76 to $178
$50$100$200$500facility $355professional $141

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$158.49
BCBS
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$354.81
Typical High
$457.09
BCBS
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$141.25
Typical High
$141.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$125.89
Typical High
$223.87
United
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$131.83
Typical High
$257.04

Where Vermont 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.

Vermont· 15th of 51

$141

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.