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Vulvar Skin Biopsy

North Carolina 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 North Carolina, July 2026.

Insurers have agreed to pay about $105 for this service. The price depends on where it is billed: about $100 from a physician practice, and about $288 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$74.13 to $178
FacilityA hospital or hospital-owned outpatient department$288$95.50 to $2,455

How much rates vary

Facilitymedian $288 · 10th to 90th $60 to $5,129Professionalmedian $100 · 10th to 90th $55 to $263
$1$10$100$1K$10Kfacility $288professional $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
$60.26
Median
$660.69
Typical High
$5,128.61
Aetna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$95.50
Typical High
$263.03
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$104.71
Typical High
$141.25
BCBS
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$131.83
Typical High
$218.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$114.82
Typical High
$204.17
Medcost
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$95.50
Typical High
$158.49
Medcost
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$234.42
United
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$2,344.23
Typical High
$4,365.16
United
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$91.20
Typical High
$165.96
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$2,951.21
Typical High
$2,951.21
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$812.83

Where North Carolina 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.

North Carolina· 36th 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.