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Biopsy Of An Additional Area Of The Vulva Or Perineum

Washington, DC rates for HCPCS 56606

When more than one area of the vulva or the perineum, the area between the vulva and the anus, needs a small tissue sample taken to check for disease, this covers each additional spot sampled beyond the first. A local numbing medicine is used and the tissue is sent to a lab for examination. It is billed in addition to the biopsy of the first area.

Rates data updated October 2026.

How much does Biopsy Of An Additional Area Of The Vulva Or Perineum cost?

$38.90

Typical physician fee. In Washington, DC, October 2026.

Insurers have agreed to pay about $38.90 for this service. Most negotiated rates run $32.36 to $81.28.

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.

How much rates vary

Facilitymedian $1,413 · 10th to 90th $32 to $4,074Professionalmedian $36 · 10th to 90th $26 to $105
$50$100$200$500$1K$2K$5Kfacility $1,413professional $36

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$24.55
Median
$1,698.24
Typical High
$4,073.80
Aetna
Setting
Professional
Modifier
None
Typical Low
$24.55
Median
$32.36
Typical High
$81.28
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$12.02
Median
$16.22
Typical High
$16.60
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$4.90
Median
$6.61
Typical High
$6.61
Aetna
Setting
Professional
Modifier
54 · Surgery only
Typical Low
$18.20
Median
$24.55
Typical High
$25.12
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$3.63
Median
$4.90
Typical High
$5.01
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$2.45
Median
$3.24
Typical High
$3.31
CareFirst
Setting
Professional
Modifier
None
Typical Low
$28.84
Median
$32.36
Typical High
$630.96
Cigna
Setting
Professional
Modifier
None
Typical Low
$26.30
Median
$44.67
Typical High
$102.33
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$41.69
Median
$43.65
Typical High
$87.10
United
Setting
Facility
Modifier
None
Typical Low
$109.65
Median
$549.54
Typical High
$1,548.82
United
Setting
Professional
Modifier
None
Typical Low
$27.54
Median
$51.29
Typical High
$100.00

Where Washington, DC sits

The same service costs 3.3 times more in Alaska than in Kentucky. 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.

Washington, DC· 47th of 51

$38.90

AK $117KY $35.48

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.