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Biopsy Of Soft Tissue In The Neck Or Chest Wall

Maryland 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?

$251

Typical negotiated rate. In Maryland, July 2026.

Insurers have agreed to pay about $251 for this service. The price depends on where it is billed: about $251 from a physician practice, and about $813 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 6 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$162 to $295
FacilityA hospital or hospital-owned outpatient department$813$331 to $1,175

How much rates vary

Facilitymedian $813 · 10th to 90th $214 to $1,175Professionalmedian $251 · 10th to 90th $151 to $447
$200$500$1K$2Kfacility $813professional $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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$1,174.90
Typical High
$1,174.90
Aetna
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$251.19
Typical High
$426.58
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$154.88
Typical High
$204.17
Cigna
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$338.84
Typical High
$676.08
Cigna
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$263.03
Typical High
$512.86
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$331.13
Typical High
$501.19
United
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$257.04
Typical High
$812.83
United
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$251.19
Typical High
$467.74
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$331.13
Typical High
$436.52

Where Maryland 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.

Maryland· 38th of 51

$251

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.