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Vulvar Skin Biopsy

Illinois rates for HCPCS 56605

A small tissue sample is taken from the vulva or the surrounding perineal area to check for causes of symptoms such as a lesion, irritation, or unusual skin changes. The sample is sent to a lab for evaluation under a microscope.

Rates data updated July 2026.

How much does Vulvar Skin Biopsy cost?

$105

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $105 for this service. The price depends on where it is billed: about $95.50 from a physician practice, and about $1,202 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$95.50$72.44 to $141
FacilityA hospital or hospital-owned outpatient department$1,202$513 to $2,512

How much rates vary

Facilitymedian $1,202 · 10th to 90th $95 to $5,129Professionalmedian $95 · 10th to 90th $54 to $182
$20$100$500$2K$10Kfacility $1,202professional $95

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
$95.50
Median
$1,202.26
Typical High
$5,128.61
Aetna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$93.33
Typical High
$181.97
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$117.49
Typical High
$123.03
BCBS
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$1,174.90
Typical High
$1,584.89
BCBS
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$104.71
Typical High
$177.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$107.15
Typical High
$177.83
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$144.54
Typical High
$354.81
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
$69.18
Median
$75.86
Typical High
$128.82
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$1,380.38
Typical High
$3,548.13
United
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$102.33
Typical High
$181.97

Where Illinois sits

The same service costs 2.6 times more in Wisconsin than in Hawaii. 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.

Illinois· 35th of 51

$105

WI $219HI $85.11

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.