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Biopsy Of Soft Tissue In The Neck Or Chest Wall

New Jersey 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?

$269

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $269 for this service. The price depends on where it is billed: about $257 from a physician practice, and about $4,898 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$257$162 to $339
FacilityA hospital or hospital-owned outpatient department$4,898$3,090 to $6,918

How much rates vary

Facilitymedian $4,898 · 10th to 90th $479 to $10,471Professionalmedian $257 · 10th to 90th $138 to $851
$200$500$1K$2K$5K$10Kfacility $4,898professional $257

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
$331.13
Median
$4,897.79
Typical High
$10,471.29
Aetna
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$239.88
Typical High
$891.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$295.12
Typical High
$660.69
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$338.84
Typical High
$467.74
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,235.94
Median
$5,248.07
Typical High
$8,317.64
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$281.84
Typical High
$831.76
United
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$5,128.61
Typical High
$8,511.38
United
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$239.88
Typical High
$537.03

Where New Jersey 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.

New Jersey· 28th of 51

$269

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.