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Vulvar Skin Biopsy

Montana 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?

$93.33

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $93.33 for this service. The price depends on where it is billed: about $87.10 from a physician practice, and about $141 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 6 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$87.10$61.66 to $155
FacilityA hospital or hospital-owned outpatient department$141$102 to $170

How much rates vary

Facilitymedian $141 · 10th to 90th $100 to $2,138Professionalmedian $87 · 10th to 90th $44 to $316
$1$10$100$1K$10K$100Kfacility $141professional $87

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
$0.89
Median
$2,570.40
Typical High
$6,606.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$87.10
Typical High
$316.23
BCBS
Setting
Facility
Modifier
Global
Typical Low
$64,565.42
Median
$75,857.76
Typical High
$91,201.08
BCBS
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$93.33
Typical High
$151.36
Cigna
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$93.33
Typical High
$93.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$95.50
Typical High
$151.36
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$141.25
Typical High
$173.78
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$141.25
Typical High
$173.78
Providence
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$93.33
Typical High
$144.54
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$93.33
Typical High
$186.21
United
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$120.23
United
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$123.03
Typical High
$213.80

Where Montana 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.

Montana· 48th of 51

$93.33

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.