go back

Biopsy Of Soft Tissue In The Neck Or Chest Wall

South Dakota 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?

$316

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $316 for this service. The price depends on where it is billed: about $309 from a physician practice, and about $389 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 7 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$309$229 to $457
FacilityA hospital or hospital-owned outpatient department$389$263 to $589

How much rates vary

Facilitymedian $389 · 10th to 90th $204 to $2,291Professionalmedian $309 · 10th to 90th $158 to $617
$200$500$1K$2Kfacility $389professional $309

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
$154.88
Median
$2,290.87
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$229.09
Typical High
$549.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$457.09
Typical High
$776.25
Medica
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$354.81
Typical High
$588.84
Medica
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$562.34
Typical High
$1,995.26
Midlands
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$363.08
Typical High
$588.84
Midlands
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$354.81
Typical High
$588.84
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$346.74
Typical High
$512.86
United
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$3,388.44
United
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$338.84
Typical High
$707.95
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$363.08
Typical High
$691.83

Where South Dakota 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.

South Dakota· 12th of 51

$316

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.