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Vulvar Skin Biopsy

Massachusetts 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?

$129

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $129 for this service. The price depends on where it is billed: about $120 from a physician practice, and about $1,000 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 9 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$120$83.18 to $224
FacilityA hospital or hospital-owned outpatient department$1,000$85.11 to $2,239

How much rates vary

Facilitymedian $1,000 · 10th to 90th $68 to $3,388Professionalmedian $120 · 10th to 90th $60 to $339
$50$100$200$500$1K$2K$5Kfacility $1,000professional $120

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
$457.09
Median
$1,819.70
Typical High
$3,715.35
Aetna
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$141.25
Typical High
$363.08
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$1,000.00
Typical High
$3,801.89
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$112.20
Typical High
$275.42
BCBS
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$67.61
Typical High
$154.88
BCBS
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$114.82
Typical High
$309.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$125.89
Typical High
$257.04
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$31.62
Median
$67.61
Typical High
$3,311.31
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$95.50
Typical High
$154.88
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$2,511.89
Typical High
$7,079.46
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$112.20
Typical High
$239.88
Health New England
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$1,096.48
Typical High
$3,019.95
Health New England
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$181.97
Typical High
$204.17
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$1,000.00
Typical High
$3,801.89
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$112.20
Typical High
$275.42
United
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$2,398.83
Typical High
$5,623.41
United
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$125.89
Typical High
$251.19

Where Massachusetts 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.

Massachusetts· 14th of 51

$129

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.