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Vulvar Skin Biopsy

South Dakota 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?

$186

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $186 for this service. The price depends on where it is billed: about $170 from a physician practice, and about $1,660 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 8 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$170$85.11 to $269
FacilityA hospital or hospital-owned outpatient department$1,660$977 to $2,692

How much rates vary

Facilitymedian $1,660 · 10th to 90th $115 to $2,692Professionalmedian $170 · 10th to 90th $55 to $309
$50$100$200$500$1K$2Kfacility $1,660professional $170

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
$977.24
Median
$2,691.53
Typical High
$2,691.53
Aetna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$199.53
Typical High
$309.03
Avera
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$109.65
Typical High
$114.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$165.96
Typical High
$275.42
Medica
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$128.82
Typical High
$213.80
Medica
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$162.18
Typical High
$724.44
Midlands
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$138.04
Typical High
$194.98
Midlands
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$173.78
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$131.83
Typical High
$186.21
United
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$1,659.59
Typical High
$1,659.59
United
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$134.90
Typical High
$229.09
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$125.89
Typical High
$229.09

Where South Dakota 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.

South Dakota· 3rd of 51

$186

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.