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Biopsy Of Soft Tissue In The Neck Or Chest Wall

Vermont 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?

$275

Typical physician fee. In Vermont, July 2026.

Insurers have agreed to pay about $275 for this service. Most negotiated rates run $195 to $316.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $275 · 10th to 90th $182 to $355
$200$500$1Kprofessional $275

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
Professional
Modifier
Global
Typical Low
$181.97
Median
$194.98
Typical High
$316.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$275.42
Typical High
$478.63
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$354.81
Typical High
$446.68
United
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$316.23
Typical High
$630.96

Where Vermont 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.

Vermont· 26th of 51

$275

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.