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Bronchoscopy with Lung Tissue Biopsy

Virginia 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?

$1,357

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

Insurers have agreed to pay about $1,357 for this procedure. That total is two separate charges: $380 to the doctor who performs it, and $977 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 8 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$380$209 to $490
Facility feeThe hospital or surgery center$977$380 to $3,467

How much rates vary

Facilitymedian $977 · 10th to 90th $219 to $6,918Professionalmedian $380 · 10th to 90th $191 to $741
$200$500$1K$2K$5K$10Kfacility $977professional $380

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
$295.12
Median
$1,096.48
Typical High
$7,079.46
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$100.00
Median
$151.36
Typical High
$331.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$380.19
Typical High
$776.25
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,888.44
Median
$6,760.83
Typical High
$7,413.10
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$346.74
Typical High
$588.84
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$281.84
Typical High
$4,365.16
Cigna
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$354.81
Typical High
$676.08
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$478.63
Typical High
$1,288.25
Medcost
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$645.65
Typical High
$891.25
Medcost
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$380.19
Typical High
$707.95
Sentara
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$245.47
Typical High
$3,630.78
Sentara
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$512.86
Typical High
$3,630.78
United
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$3,388.44
Typical High
$6,025.60
United
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$331.13
Typical High
$645.65

Where Virginia 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

Virginia· 42nd of 51

$1,357

$380 physician + $977 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.