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Vulvar Skin Biopsy

Ohio 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 Ohio, 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 $2,138 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$100$74.13 to $132
FacilityA hospital or hospital-owned outpatient department$2,138$955 to $2,884

How much rates vary

Facilitymedian $2,138 · 10th to 90th $170 to $7,079Professionalmedian $100 · 10th to 90th $58 to $186
$50$200$1K$5Kfacility $2,138professional $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
$112.20
Median
$2,187.76
Typical High
$8,912.51
Aetna
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$107.15
Typical High
$199.53
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$97.72
Typical High
$117.49
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$2,137.96
Typical High
$3,981.07
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$83.18
Typical High
$147.91
CareSource
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$64.57
Typical High
$75.86
CareSource
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$112.20
Typical High
$120.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$93.33
Typical High
$21,379.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$109.65
Typical High
$186.21
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$1,348.96
Typical High
$21,379.62
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$112.20
Typical High
$190.55
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$93.33
Typical High
$154.88
United
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$1,659.59
Typical High
$3,981.07
United
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$87.10
Typical High
$151.36

Where Ohio 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.

Ohio· 21st 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.