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Biopsy Of Soft Tissue In The Neck Or Chest Wall

Ohio 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 Ohio, July 2026.

Insurers have agreed to pay about $251 for this service. The price depends on where it is billed: about $209 from a physician practice, and about $2,512 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 8 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$209$151 to $275
FacilityA hospital or hospital-owned outpatient department$2,512$832 to $4,266

How much rates vary

Facilitymedian $2,512 · 10th to 90th $275 to $10,233Professionalmedian $209 · 10th to 90th $132 to $407
$50$200$1K$5Kfacility $2,512professional $209

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
$251.19
Median
$2,238.72
Typical High
$10,715.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$239.88
Typical High
$1,513.56
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$2,884.03
Typical High
$7,943.28
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$158.49
Typical High
$263.03
CareSource
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$147.91
Typical High
$173.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$251.19
Typical High
$21,379.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$257.04
Typical High
$436.52
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$21,379.62
Median
$21,379.62
Typical High
$21,379.62
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$257.04
Typical High
$426.58
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$79.43
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$269.15
Typical High
$407.38
United
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$2,398.83
Typical High
$5,128.61
United
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$229.09
Typical High
$407.38

Where Ohio 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.

Ohio· 46th 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.