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Open Biopsy of Deep Underarm Lymph Node

Kentucky rates for HCPCS 38525

A surgeon makes an incision to access and remove a lymph node located deep in the armpit (axilla) for laboratory examination. This helps identify the cause of an enlarged or abnormal node, such as infection or cancer, including spread of breast cancer or melanoma. It requires a more involved surgical approach than sampling a lymph node close to the skin surface.

Rates data updated July 2026.

How much does Open Biopsy of Deep Underarm Lymph Node cost?

$2,912

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

Insurers have agreed to pay about $2,912 for this procedure. That total is two separate charges: $457 to the doctor who performs it, and $2,455 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$457$372 to $676
Facility feeThe hospital or surgery center$2,455$1,413 to $4,169

How much rates vary

Facilitymedian $2,455 · 10th to 90th $661 to $6,166Professionalmedian $457 · 10th to 90th $331 to $813
$0.1$1.0$10.0$100.0$1.0K$10.0Kfacility $2,455professional $457

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
$537.03
Median
$2,754.23
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$478.63
Typical High
$1,047.13
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$281.84
Typical High
$575.44
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$2,398.83
Typical High
$4,365.16
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$371.54
Typical High
$588.84
CareSource
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$549.54
Typical High
$660.69
CareSource
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$512.86
Typical High
$660.69
Cigna
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$741.31
Typical High
$1,659.59
Cigna
Setting
Facility
Modifier
22 · Increased work
Typical Low
$891.25
Median
$891.25
Typical High
$891.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$707.95
Typical High
$2,511.89
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$3,467.37
Typical High
$6,456.54
United
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$501.19
Typical High
$812.83

Where Kentucky sits

The same service costs 15.0 times more in South Carolina than in Maryland. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Physician feeFacility feeKentucky $2,912 · 35th of 51
SC $8,275MD $550

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.