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Biopsy Of Soft Tissue In The Neck Or Chest Wall

Virginia 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 Virginia, July 2026.

Insurers have agreed to pay about $269 for this service. The price depends on where it is billed: about $251 from a physician practice, and about $398 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$251$178 to $309
FacilityA hospital or hospital-owned outpatient department$398$219 to $3,631

How much rates vary

Facilitymedian $398 · 10th to 90th $166 to $5,888Professionalmedian $251 · 10th to 90th $151 to $457
$200$500$1K$2K$5K$10Kfacility $398professional $251

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
$218.78
Median
$1,995.26
Typical High
$8,317.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$251.19
Typical High
$478.63
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$3,981.07
Typical High
$4,466.84
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$223.87
Typical High
$389.05
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$204.17
Typical High
$3,467.37
Cigna
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$416.87
Typical High
$416.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$263.03
Typical High
$489.78
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$338.84
Typical High
$407.38
Medcost
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$346.74
Typical High
$645.65
Medcost
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$269.15
Typical High
$436.52
Medcost
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$158.49
Typical High
$158.49
Sentara
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$204.17
Typical High
$3,388.44
Sentara
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$331.13
Typical High
$3,388.44
United
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$3,311.31
Typical High
$5,754.40
United
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$239.88
Typical High
$446.68

Where Virginia 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.

Virginia· 31st 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.