go back

Biopsy of Soft Tissue, Lower Leg or Ankle

Indiana rates for HCPCS 27613

This procedure takes a small tissue sample from just beneath the skin of the lower leg or ankle, in the layer close to the surface rather than deeper within the muscle, so it can be examined under a microscope. The surgeon removes a piece of the tissue through a small incision for diagnosis, rather than taking out the entire growth or mass. This approach is used for tissue found near the surface rather than lesions located deeper in the leg.

Facilitymedian $6,918 · 10th–90th $603$10,4710%10%10th90th$6,918Professionalmedian $234 · 10th–90th $148$4070%10%20%10th90th$234$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$3,801.89
Typical High
$5,623.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$234.42
Typical High
$436.52
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,168.69
Median
$8,912.51
Typical High
$11,220.18
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$173.78
Typical High
$288.40
CareSource
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$162.18
Typical High
$186.21
Cigna
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$251.19
Typical High
$501.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$257.04
Typical High
$436.52
United
Setting
Facility
Modifier
Global
Typical Low
$1,380.38
Median
$2,951.21
Typical High
$4,265.80
United
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$223.87
Typical High
$398.11