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Biopsy Of Soft Tissue In The Neck Or Chest Wall

Michigan 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?

$234

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $234 for this service. The price depends on where it is billed: about $224 from a physician practice, and about $631 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$224$162 to $275
FacilityA hospital or hospital-owned outpatient department$631$331 to $2,138

How much rates vary

Facilitymedian $631 · 10th to 90th $204 to $4,898Professionalmedian $224 · 10th to 90th $138 to $347
$50$100$200$500$1K$2K$5Kfacility $631professional $224

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
$204.17
Median
$630.96
Typical High
$4,897.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$229.09
Typical High
$346.74
BCBS
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$138.04
BCBS
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$223.87
Typical High
$257.04
Cigna
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$229.09
Typical High
$380.19
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$707.95
Typical High
$4,897.79
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$275.42
Typical High
$407.38
United
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$2,884.03
Typical High
$6,025.60
United
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$251.19
Typical High
$354.81

Where Michigan 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.

Michigan· 49th of 51

$234

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.