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Biopsy Of Soft Tissue In The Neck Or Chest Wall

Utah 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 Utah, July 2026.

Insurers have agreed to pay about $316 for this service. The price depends on where it is billed: about $295 from a physician practice, and about $3,162 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$295$224 to $550
FacilityA hospital or hospital-owned outpatient department$3,162$2,239 to $4,169

How much rates vary

Facilitymedian $3,162 · 10th to 90th $224 to $4,571Professionalmedian $295 · 10th to 90th $148 to $1,230
$200$500$1K$2K$5Kfacility $3,162professional $295

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
$223.87
Median
$3,162.28
Typical High
$4,570.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$316.23
Typical High
$1,318.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$257.04
Typical High
$436.52
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$489.78
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$2,290.87
Median
$3,162.28
Typical High
$4,897.79
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$331.13
Typical High
$549.54
Select Health
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$537.03
Typical High
$537.03
Select Health
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$269.15
Typical High
$537.03
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$354.81
Typical High
$478.63
United
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$4,466.84
Typical High
$5,128.61
United
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$229.09
Typical High
$371.54

Where Utah 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.

Utah· 10th 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.