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Vulvar Skin Biopsy

Kentucky 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?

$117

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $117 for this service. The price depends on where it is billed: about $100 from a physician practice, and about $1,820 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$100$67.61 to $155
FacilityA hospital or hospital-owned outpatient department$1,820$794 to $2,570

How much rates vary

Facilitymedian $1,820 · 10th to 90th $93 to $3,020Professionalmedian $100 · 10th to 90th $58 to $182
$50$100$200$500$1K$2K$5Kfacility $1,820professional $100

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
$89.13
Median
$173.78
Typical High
$3,890.45
Aetna
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$114.82
Typical High
$199.53
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$79.43
Typical High
$109.65
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$2,137.96
Typical High
$2,951.21
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$67.61
Typical High
$128.82
CareSource
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$74.13
Typical High
$89.13
CareSource
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$91.20
Typical High
$120.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$93.33
Typical High
$93.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$112.20
Typical High
$707.95
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$1,445.44
Typical High
$2,630.27
United
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$91.20
Typical High
$154.88

Where Kentucky 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.

Kentucky· 22nd of 51

$117

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.