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Pennsylvania rates for HCPCS 21550

Biopsy, soft tissue of neck or thorax

Facilitymedian $2,692 · 10th–90th $603–$7,7620%5%10%10th90th$2,692Professionalmedian $245 · 10th–90th $145–$4790%20%10th90th$245$10.0$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$616.60 / $2,691.53 / $8,317.64
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $245.47 / $489.78
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,801.89 / $3,801.89 / $57,543.99
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $218.78 / $239.88
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $251.19 / $446.68
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $446.68 / $562.34
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $316.23 / $446.68
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,698.24 / $2,454.71 / $9,332.54
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$537.03 / $1,819.70 / $6,606.93
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $251.19 / $524.81
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $407.38 / $575.44
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$97.72 / $229.09 / $309.03
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $257.04 / $309.03
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,000.00 / $2,951.21 / $5,888.44
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $234.42 / $446.68