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Vaginal Tissue Biopsy

Illinois rates for HCPCS 57100

This procedure takes a small tissue sample from the lining of the vagina to be examined under a microscope. It is used to check for abnormal cells, infection, or other tissue changes.

Rates data updated July 2026.

How much does Vaginal Tissue Biopsy cost?

$117

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $117 for this service. The price depends on where it is billed: about $107 from a physician practice, and about $1,288 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 6 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$107$81.28 to $155
FacilityA hospital or hospital-owned outpatient department$1,288$437 to $3,311

How much rates vary

Facilitymedian $1,288 · 10th to 90th $102 to $8,511Professionalmedian $107 · 10th to 90th $63 to $200
$100$200$500$1K$2K$5K$10Kfacility $1,288professional $107

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
$102.33
Median
$1,288.25
Typical High
$9,549.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$100.00
Typical High
$199.53
BCBS
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$1,288.25
Typical High
$1,621.81
BCBS
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$117.49
Typical High
$199.53
Cigna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$114.82
Typical High
$190.55
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$151.36
Typical High
$354.81
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$83.18
Typical High
$141.25
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$1,380.38
Typical High
$3,548.13
United
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$109.65
Typical High
$186.21

Where Illinois sits

The same service costs 10.2 times more in Oklahoma 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.

Illinois· 25th of 51

$117

OK $891HI $87.10

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.