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Vulvar Skin Biopsy

Michigan 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?

$95.50

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $95.50 for this service. The price depends on where it is billed: about $91.20 from a physician practice, and about $708 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$91.20$67.61 to $126
FacilityA hospital or hospital-owned outpatient department$708$112 to $2,042

How much rates vary

Facilitymedian $708 · 10th to 90th $78 to $4,898Professionalmedian $91 · 10th to 90th $52 to $158
$20$100$500$2Kfacility $708professional $91

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
$77.62
Median
$707.95
Typical High
$4,897.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$93.33
Typical High
$162.18
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$28.18
Typical High
$28.18
BCBS
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$58.88
Typical High
$58.88
BCBS
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$63.10
Typical High
$114.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$89.13
Typical High
$144.54
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$223.87
Typical High
$4,897.79
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$95.50
Typical High
$147.91
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$173.78
United
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$1,778.28
Typical High
$4,265.80
United
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$93.33
Typical High
$134.90

Where Michigan 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.

Michigan· 47th of 51

$95.50

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.