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Ultrasound-Guided Lymph Node Sampling in the Chest

Virginia rates for HCPCS 31653

A flexible scope carrying a small ultrasound probe is passed through the mouth or nose into the airways, letting the doctor see lymph nodes and other structures that lie just beyond the airway wall and steer a needle into them while watching in real time. Cells are drawn out and sent to the laboratory, most often to work out whether a cancer has spread or to explain enlarged nodes seen on a scan. How many separate node areas are sampled determines which version of the service applies.

Rates data updated July 2026.

How much does Ultrasound-Guided Lymph Node Sampling in the Chest cost?

$1,862

Typical facility fee. In Virginia, July 2026.

Insurers have agreed to pay about $1,862 for this service. Most negotiated rates run $479 to $5,370.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $1,862 · 10th to 90th $275 to $8,710Professionalmedian $1,660 · 10th to 90th $214 to $3,090
$200$500$1K$2K$5K$10Kfacility $1,862professional $1,660

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$2,630.27
Typical High
$7,244.36
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$138.04
Median
$208.93
Typical High
$1,202.26
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,888.44
Median
$6,760.83
Typical High
$7,413.10
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$1,659.59
Typical High
$2,041.74
Medcost
Setting
Professional
Modifier
Global
Typical Low
$3,090.30
Median
$3,090.30
Typical High
$3,090.30
Medcost
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$794.33
Typical High
$1,949.84
Sentara
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$338.84
Typical High
$8,709.64
United
Setting
Facility
Modifier
Global
Typical Low
$3,801.89
Median
$6,606.93
Typical High
$13,489.63

Where Virginia sits

The same service costs 8.9 times more in Wyoming 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.

Virginia· 43rd of 51

$1,862

WY $7,244MD $813

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.