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Biopsy Of Soft Tissue In The Neck Or Chest Wall

Idaho 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?

$295

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $295 for this service. The price depends on where it is billed: about $288 from a physician practice, and about $661 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 8 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$288$224 to $427
FacilityA hospital or hospital-owned outpatient department$661$324 to $3,311

How much rates vary

Facilitymedian $661 · 10th to 90th $204 to $4,467Professionalmedian $288 · 10th to 90th $162 to $550
$200$500$1K$2K$5Kfacility $661professional $288

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
$380.19
Median
$2,884.03
Typical High
$7,079.46
Aetna
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$251.19
Typical High
$549.54
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,096.48
Median
$2,454.71
Typical High
$4,265.80
BCBS
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$354.81
Typical High
$524.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$851.14
Typical High
$851.14
Cigna
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$275.42
Typical High
$446.68
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$302.00
Typical High
$562.34
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$436.52
Typical High
$549.54
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$3,630.78
Typical High
$5,248.07
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$371.54
Typical High
$575.44
Select Health
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$2,041.74
Typical High
$3,311.31
Select Health
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$251.19
Typical High
$831.76
United
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$3,467.37
Typical High
$7,762.47
United
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$281.84
Typical High
$467.74

Where Idaho 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.

Idaho· 19th of 51

$295

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.