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Superficial Soft Tissue Biopsy Of Hip Area

Pennsylvania rates for HCPCS 27040

Takes a sample of soft tissue from just under the skin over the hip or pelvis so it can be examined in the laboratory. A small incision is made and a piece of the lump or abnormal tissue is removed from the layer close to the surface, without going beneath the covering of the muscle. It is done to find out what a mass is made of before deciding on treatment.

Rates data updated July 2026.

How much does Superficial Soft Tissue Biopsy Of Hip Area cost?

$309

Typical physician fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $309 for this service. Most negotiated rates run $204 to $363.

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 9 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $309 · 10th to 90th $182 to $513
$200$500$1Kprofessional $309

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
$302.00
Typical High
$467.74
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$338.84
Typical High
$616.60
Cigna
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$331.13
Typical High
$602.56
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$562.34
Typical High
$707.95
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$398.11
Typical High
$630.96
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$316.23
Typical High
$1,096.48
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$338.84
Typical High
$363.08
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$251.19
Typical High
$338.84
United
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$323.59
Typical High
$575.44

Where Pennsylvania sits

The same service costs 4.4 times more in Hawaii 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.

Pennsylvania· 38th of 51

$309

HI $1,148KY $263

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.