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Biopsy Of Soft Tissue In The Neck Or Chest Wall

Washington, DC 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?

$288

Typical physician fee. In Washington, DC, July 2026.

Insurers have agreed to pay about $288 for this service. Most negotiated rates run $162 to $589.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $2,512 · 10th to 90th $162 to $7,762Professionalmedian $263 · 10th to 90th $155 to $398
$200$500$1K$2K$5K$10K$20Kfacility $2,512professional $263

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
$162.18
Median
$2,137.96
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$234.42
Typical High
$398.11
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$1,071.52
Typical High
$4,073.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$275.42
Typical High
$660.69
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$363.08
Typical High
$630.96
United
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$6,606.93
Typical High
$26,302.68
United
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$302.00
Typical High
$588.84

Where Washington, DC 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.

Washington, DC· 22nd of 51

$288

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.