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Biopsy of Soft Tissue, Lower Leg or Ankle

New Jersey 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.

Rates data updated July 2026.

How much does Biopsy of Soft Tissue, Lower Leg or Ankle cost?

$257

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $257 for this service. The price depends on where it is billed: about $251 from a physician practice, and about $5,495 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 5 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$251$170 to $339
FacilityA hospital or hospital-owned outpatient department$5,495$3,548 to $7,079

How much rates vary

Facilitymedian $5,495 · 10th to 90th $457 to $10,471Professionalmedian $251 · 10th to 90th $148 to $891
$200$500$1K$2K$5K$10Kfacility $5,495professional $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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$5,888.44
Typical High
$10,715.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$229.09
Typical High
$1,445.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$295.12
Typical High
$676.08
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$323.59
Typical High
$446.68
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,388.44
Median
$5,495.41
Typical High
$8,511.38
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$269.15
Typical High
$851.14
United
Setting
Facility
Modifier
Global
Typical Low
$1,778.28
Median
$3,467.37
Typical High
$6,918.31
United
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$229.09
Typical High
$549.54

Where New Jersey sits

The same service costs 4.5 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.

New Jersey· 35th of 51

$257

CA $912KY $204

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.