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Vulvar Skin Biopsy

West Virginia 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?

$112

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $112 for this service. The price depends on where it is billed: about $97.72 from a physician practice, and about $1,585 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 5 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$97.72$77.62 to $132
FacilityA hospital or hospital-owned outpatient department$1,585$1,349 to $1,995

How much rates vary

Facilitymedian $1,585 · 10th to 90th $63 to $2,089Professionalmedian $98 · 10th to 90th $58 to $174
$50$100$200$500$1K$2K$5Kfacility $1,585professional $98

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
$63.10
Median
$1,584.89
Typical High
$2,089.30
Aetna
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$102.33
Typical High
$186.21
CareSource
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$77.62
Typical High
$79.43
CareSource
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$87.10
Typical High
$144.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$93.33
Typical High
$93.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$104.71
Typical High
$707.95
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$2,344.23
Typical High
$5,128.61
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$77.62
Typical High
$77.62
United
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$1,584.89
Typical High
$2,570.40
United
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$79.43
Typical High
$138.04

Where West Virginia 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.

West Virginia· 28th of 51

$112

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.