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Vaginal Tissue Biopsy

North Carolina 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?

$112

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $112 for this service. The price depends on where it is billed: about $107 from a physician practice, and about $251 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$83.18 to $191
FacilityA hospital or hospital-owned outpatient department$251$102 to $1,047

How much rates vary

Facilitymedian $251 · 10th to 90th $65 to $4,266Professionalmedian $107 · 10th to 90th $65 to $275
$100$200$500$1K$2K$5Kfacility $251professional $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
$64.57
Median
$371.54
Typical High
$5,248.07
Aetna
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$102.33
Typical High
$281.84
BCBS
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$151.36
Typical High
$229.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$125.89
Typical High
$218.78
Medcost
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$102.33
Typical High
$165.96
Medcost
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$245.47
United
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$2,344.23
Typical High
$4,365.16
United
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$97.72
Typical High
$177.83
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$1,659.59
Typical High
$1,659.59
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$870.96

Where North Carolina 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.

North Carolina· 28th of 51

$112

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.