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Vaginal Tissue Biopsy

Massachusetts 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?

$126

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $126 for this service. The price depends on where it is billed: about $126 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 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$126$83.18 to $219
FacilityA hospital or hospital-owned outpatient department$1,288$91.20 to $2,455

How much rates vary

Facilitymedian $1,288 · 10th to 90th $74 to $3,715Professionalmedian $126 · 10th to 90th $66 to $331
$50$200$1K$5Kfacility $1,288professional $126

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
$91.20
Median
$2,089.30
Typical High
$4,168.69
Aetna
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$100.00
Typical High
$346.74
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$1,548.82
Typical High
$3,801.89
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$123.03
Typical High
$302.00
BCBS
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$74.13
Typical High
$169.82
BCBS
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$123.03
Typical High
$331.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$138.04
Typical High
$263.03
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$74.13
Typical High
$3,311.31
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$107.15
Typical High
$173.78
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$2,511.89
Typical High
$7,079.46
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$125.89
Typical High
$269.15
Health New England
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$891.25
Typical High
$954.99
Health New England
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$190.55
Typical High
$194.98
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$1,548.82
Typical High
$3,801.89
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$123.03
Typical High
$302.00
United
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$2,398.83
Typical High
$5,623.41
United
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$138.04
Typical High
$288.40

Where Massachusetts 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.

Massachusetts· 17th of 51

$126

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.