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Superficial Soft Tissue Biopsy Of The Back Or Flank

Maine rates for HCPCS 21920

This procedure removes a small sample of soft tissue from the back or flank, close to the skin surface, so it can be examined for signs of disease such as infection, inflammation, or tumor cells. The surgeon numbs the area, makes a small incision, and takes the sample without going deep into the underlying muscle. Results guide the diagnosis and next steps for treatment.

Rates data updated July 2026.

How much does Superficial Soft Tissue Biopsy Of The Back Or Flank cost?

$251

Typical physician fee. In Maine, July 2026.

Insurers have agreed to pay about $251 for this service. Most negotiated rates run $178 to $324.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $3,388 · 10th to 90th $3,388 to $3,388Professionalmedian $251 · 10th to 90th $158 to $490
$100.0$200.0$500.0$1.0K$2.0K$5.0Kfacility $3,388professional $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. 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
Global
Typical Low
$147.91
Median
$208.93
Typical High
$309.03
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$223.87
Typical High
$338.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$323.59
Typical High
$562.34
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$323.59
Typical High
$537.03
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$208.93
Typical High
$323.59
United
Setting
Facility
Modifier
Global
Typical Low
$3,388.44
Median
$3,388.44
Typical High
$3,388.44
United
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$275.42
Typical High
$512.86

Where Maine sits

The same service costs 5.8 times more in California than in Kentucky. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Maine $251 · 42nd of 51
CA $1,122KY $195

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.