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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 October 2026.

How much does Needle Biopsy Without Imaging, First Site cost?

$138

Typical negotiated rate. In Vermont, October 2026.

Insurers have agreed to pay about $138 for this service. The price depends on where it is billed: about $129 from a physician practice, and about $355 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$129$89.13 to $174
FacilityA hospital or hospital-owned outpatient department$355$141 to $501

How much rates vary

Facilitymedian $355 · 10th to 90th $50 to $501Professionalmedian $129 · 10th to 90th $76 to $214
$50$100$200$500facility $355professional $129

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$75.86
Median
$75.86
Typical High
$158.49
BCBS
Setting
Facility
Modifier
None
Typical Low
$354.81
Median
$354.81
Typical High
$457.09
BCBS
Setting
Professional
Modifier
None
Typical Low
$117.49
Median
$117.49
Typical High
$371.54
Cigna
Setting
Facility
Modifier
None
Typical Low
$50.12
Median
$50.12
Typical High
$141.25
Cigna
Setting
Professional
Modifier
None
Typical Low
$83.18
Median
$125.89
Typical High
$213.80
United
Setting
Facility
Modifier
None
Typical Low
$501.19
Median
$501.19
Typical High
$501.19
United
Setting
Professional
Modifier
None
Typical Low
$75.86
Median
$128.82
Typical High
$234.42

Where Vermont sits

The same service costs 2.8 times more in Alaska than in Kentucky. 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· 12th of 51

$138

AK $257KY $93.33

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.