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Biopsy Of Soft Tissue In The Neck Or Chest Wall

Kentucky 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?

$209

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $209 for this service. The price depends on where it is billed: about $195 from a physician practice, and about $794 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$195$138 to $251
FacilityA hospital or hospital-owned outpatient department$794$257 to $3,890

How much rates vary

Facilitymedian $794 · 10th to 90th $174 to $10,715Professionalmedian $195 · 10th to 90th $129 to $372
$100$200$500$1K$2K$5K$10Kfacility $794professional $195

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
$398.11
Typical High
$3,890.45
Aetna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$218.78
Typical High
$416.87
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$234.42
Typical High
$234.42
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$10,715.19
Typical High
$11,220.18
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$138.04
Typical High
$204.17
CareSource
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$190.55
Typical High
$251.19
CareSource
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$190.55
Typical High
$234.42
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$251.19
Typical High
$251.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$295.12
Typical High
$1,318.26
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$85.11
United
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$2,089.30
Typical High
$4,168.69
United
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$245.47
Typical High
$416.87

Where Kentucky 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.

Kentucky· 51st of 51

$209

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.