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Bronchoscopy with Lung Tissue Biopsy

Illinois rates for HCPCS 31628

During a bronchoscopy, a small forceps is passed through the scope and into the lung tissue beyond the airway walls to take a tissue sample from one section (lobe) of the lung. The sample is sent to a lab to help diagnose conditions such as infection, inflammation, or a possible tumor.

Rates data updated July 2026.

How much does Bronchoscopy with Lung Tissue Biopsy cost?

$2,047

Typical total for the visit. In Illinois, July 2026.

Insurers have agreed to pay about $2,047 for this procedure. That total is two separate charges: $309 to the doctor who performs it, and $1,738 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$309$170 to $437
Facility feeThe hospital or surgery center$1,738$708 to $3,890

How much rates vary

Facilitymedian $1,738 · 10th to 90th $331 to $5,495Professionalmedian $309 · 10th to 90th $85 to $692
$1$10$100$1K$10Kfacility $1,738professional $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
Facility
Modifier
Global
Typical Low
$323.59
Median
$1,621.81
Typical High
$5,495.41
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$95.50
Median
$204.17
Typical High
$316.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$223.87
Typical High
$630.96
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$109.65
Typical High
$309.03
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,949.84
Median
$4,786.30
Typical High
$6,456.54
BCBS
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$380.19
Typical High
$758.58
Cigna
Setting
Facility
Modifier
Global
Typical Low
$6,309.57
Median
$7,762.47
Typical High
$10,964.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$338.84
Typical High
$616.60
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$512.86
Typical High
$1,288.25
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$218.78
Typical High
$478.63
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$3,162.28
Typical High
$5,623.41
United
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$371.54
Typical High
$676.08

Where Illinois sits

The same service costs 15.4 times more in Wisconsin than in Maryland. 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.

Physician feeFacility fee

Illinois· 31st of 51

$2,047

$309 physician + $1,738 facility

WI $6,451MD $419

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.