go back

Vaginal Tissue Biopsy

New Jersey 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?

$100

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $100 for this service. The price depends on where it is billed: about $91.20 from a physician practice, and about $4,898 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$91.20$64.57 to $123
FacilityA hospital or hospital-owned outpatient department$4,898$3,311 to $6,918

How much rates vary

Facilitymedian $4,898 · 10th to 90th $178 to $10,471Professionalmedian $91 · 10th to 90th $58 to $214
$100$200$500$1K$2K$5K$10Kfacility $4,898professional $91

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
$112.20
Median
$5,370.32
Typical High
$10,471.29
Aetna
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$89.13
Typical High
$218.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$114.82
Typical High
$257.04
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$125.89
Typical High
$199.53
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$3,090.30
Typical High
$4,073.80
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$102.33
Typical High
$213.80
United
Setting
Facility
Modifier
Global
Typical Low
$1,778.28
Median
$3,467.37
Typical High
$6,760.83
United
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$107.15
Typical High
$177.83

Where New Jersey 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.

New Jersey· 42nd of 51

$100

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.