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Vaginal Tissue Biopsy

Pennsylvania 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 Pennsylvania, July 2026.

Insurers have agreed to pay about $112 for this service. The price depends on where it is billed: about $93.33 from a physician practice, and about $2,344 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 10 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$93.33$72.44 to $141
FacilityA hospital or hospital-owned outpatient department$2,344$692 to $4,266

How much rates vary

Facilitymedian $2,344 · 10th to 90th $174 to $7,762Professionalmedian $93 · 10th to 90th $58 to $214
$100$200$500$1K$2K$5Kfacility $2,344professional $93

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
$173.78
Median
$2,398.83
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$93.33
Typical High
$223.87
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$2,691.53
Typical High
$57,543.99
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$169.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$107.15
Typical High
$169.82
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$169.82
Typical High
$181.97
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$58.88
Typical High
$58.88
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$117.49
Typical High
$177.83
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$2,238.72
Typical High
$3,162.28
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$2,089.30
Typical High
$7,244.36
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$93.33
Typical High
$269.15
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$107.15
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$295.12
Typical High
$512.86
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$97.72
Typical High
$104.71
United
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$1,659.59
Typical High
$3,890.45
United
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$95.50
Typical High
$162.18

Where Pennsylvania 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.

Pennsylvania· 33rd 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.