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Biopsy Of Soft Tissue In The Neck Or Chest Wall

Colorado rates for HCPCS 21550

This procedure takes a tissue sample from soft tissue, such as muscle or fat, in the neck or chest wall area. It is used to help diagnose a lump, mass, or other abnormal area of tissue found on exam or imaging.

Rates data updated July 2026.

How much does Biopsy Of Soft Tissue In The Neck Or Chest Wall cost?

$269

Typical negotiated rate. In Colorado, July 2026.

Insurers have agreed to pay about $269 for this service. The price depends on where it is billed: about $245 from a physician practice, and about $4,169 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 7 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$245$158 to $275
FacilityA hospital or hospital-owned outpatient department$4,169$813 to $6,761

How much rates vary

Facilitymedian $4,169 · 10th to 90th $240 to $8,511Professionalmedian $245 · 10th to 90th $155 to $457
$200$500$1K$2K$5K$10Kfacility $4,169professional $245

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
$269.15
Median
$3,981.07
Typical High
$7,585.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$245.47
Typical High
$426.58
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$6,760.83
Typical High
$10,964.78
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$218.78
Typical High
$371.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$1,023.29
Typical High
$3,162.28
Cigna
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$281.84
Typical High
$489.78
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$275.42
Typical High
$457.09
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$281.84
Typical High
$676.08
Select Health
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$295.12
Typical High
$588.84
Select Health
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$190.55
Typical High
$281.84
United
Setting
Facility
Modifier
Global
Typical Low
$1,348.96
Median
$3,548.13
Typical High
$6,309.57
United
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$281.84
Typical High
$501.19

Where Colorado sits

The same service costs 4.2 times more in California 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.

Colorado· 30th of 51

$269

CA $871KY $209

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.