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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 October 2026.

How much does Biopsy Of Soft Tissue In The Neck Or Chest Wall cost?

$316

Typical physician fee. In Vermont, October 2026.

Insurers have agreed to pay about $316 for this service. Most negotiated rates run $234 to $457.

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

Facilitymedian $1,259 · 10th to 90th $309 to $1,660Professionalmedian $309 · 10th to 90th $195 to $479
$100$200$500$1Kfacility $1,259professional $309

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$181.97
Median
$275.42
Typical High
$316.23
Cigna
Setting
Facility
Modifier
None
Typical Low
$309.03
Median
$309.03
Typical High
$1,659.59
Cigna
Setting
Professional
Modifier
None
Typical Low
$208.93
Median
$281.84
Typical High
$478.63
MVP Health Care
Setting
Professional
Modifier
None
Typical Low
$269.15
Median
$371.54
Typical High
$446.68
United
Setting
Facility
Modifier
None
Typical Low
$1,258.93
Median
$1,258.93
Typical High
$1,258.93
United
Setting
Professional
Modifier
None
Typical Low
$199.53
Median
$309.03
Typical High
$562.34

Where Vermont sits

The same service costs 4.5 times more in Alaska 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· 15th of 51

$316

AK $759KY $170

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.