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Biopsy Of Soft Tissue In The Neck Or Chest Wall

Georgia 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?

$282

Typical negotiated rate. In Georgia, July 2026.

Insurers have agreed to pay about $282 for this service. The price depends on where it is billed: about $251 from a physician practice, and about $3,020 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 5 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$251$178 to $316
FacilityA hospital or hospital-owned outpatient department$3,020$1,259 to $4,571

How much rates vary

Facilitymedian $3,020 · 10th to 90th $398 to $7,079Professionalmedian $251 · 10th to 90th $151 to $479
$200$500$1K$2K$5K$10Kfacility $3,020professional $251

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
$257.04
Median
$3,548.13
Typical High
$7,585.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$251.19
Typical High
$489.78
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$2,570.40
Typical High
$5,888.44
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$245.47
Typical High
$363.08
Cigna
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$977.24
Cigna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$295.12
Typical High
$524.81
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$302.00
Typical High
$489.78
United
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$2,884.03
Typical High
$5,370.32
United
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$269.15
Typical High
$489.78

Where Georgia 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.

Georgia· 24th of 51

$282

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.