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Superficial Soft Tissue Biopsy Of The Back Or Flank

South Dakota 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?

$316

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $316 for this service. The price depends on where it is billed: about $316 from a physician practice, and about $380 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$316$219 to $479
FacilityA hospital or hospital-owned outpatient department$380$257 to $575

How much rates vary

Facilitymedian $380 · 10th to 90th $204 to $2,291Professionalmedian $316 · 10th to 90th $155 to $603
$200$500$1K$2Kfacility $380professional $316

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
$158.49
Median
$2,290.87
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$223.87
Typical High
$537.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$446.68
Typical High
$758.58
Medica
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$354.81
Typical High
$575.44
Medica
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$549.54
Typical High
$1,905.46
Midlands
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$363.08
Typical High
$575.44
Midlands
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$354.81
Typical High
$575.44
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$338.84
Typical High
$489.78
United
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$1,659.59
Typical High
$3,388.44
United
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$331.13
Typical High
$691.83
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$363.08
Typical High
$676.08

Where South Dakota sits

The same service costs 5.8 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.

South Dakota· 14th of 51

$316

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.