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Biopsy Of Soft Tissue In The Neck Or Chest Wall

Illinois 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 negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $288 for this service. The price depends on where it is billed: about $263 from a physician practice, and about $1,413 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$263$178 to $380
FacilityA hospital or hospital-owned outpatient department$1,413$468 to $2,884

How much rates vary

Facilitymedian $1,413 · 10th to 90th $263 to $5,129Professionalmedian $263 · 10th to 90th $148 to $525
$200$500$1K$2K$5K$10Kfacility $1,413professional $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
$263.03
Median
$1,288.25
Typical High
$5,128.61
Aetna
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$251.19
Typical High
$524.81
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$162.18
Typical High
$234.42
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$2,398.83
Typical High
$3,388.44
BCBS
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$288.40
Typical High
$524.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,380.38
Median
$1,380.38
Typical High
$1,380.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$269.15
Typical High
$457.09
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$380.19
Typical High
$776.25
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$194.98
Typical High
$354.81
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$389.05
United
Setting
Facility
Modifier
Global
Typical Low
$1,096.48
Median
$2,137.96
Typical High
$4,466.84
United
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$257.04
Typical High
$467.74

Where Illinois 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.

Illinois· 21st 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.