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Biopsy of Soft Tissue, Lower Leg or Ankle

Vermont 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 October 2026.

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

$309

Typical physician fee. In Vermont, October 2026.

Insurers have agreed to pay about $309 for this service. Most negotiated rates run $257 to $437.

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.

How much rates vary

Facilitymedian $398 · 10th to 90th $309 to $708Professionalmedian $309 · 10th to 90th $204 to $457
$200$500$1Kfacility $398professional $309

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$190.55
Median
$263.03
Typical High
$309.03
BCBS Vermont
Setting
Professional
Modifier
None
Typical Low
$389.05
Median
$389.05
Typical High
$912.01
Cigna
Setting
Facility
Modifier
None
Typical Low
$309.03
Median
$309.03
Typical High
$398.11
Cigna
Setting
Professional
Modifier
None
Typical Low
$218.78
Median
$323.59
Typical High
$457.09
MVP Health Care
Setting
Professional
Modifier
None
Typical Low
$263.03
Median
$354.81
Typical High
$426.58
United
Setting
Facility
Modifier
None
Typical Low
$707.95
Median
$707.95
Typical High
$707.95
United
Setting
Professional
Modifier
None
Typical Low
$204.17
Median
$316.23
Typical High
$524.81

Where Vermont sits

The same service costs 3.5 times more in Alaska than in Texas. 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.

Vermont· 12th of 51

$309

AK $661TX $186

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.