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Vaginal Tissue Biopsy

South Dakota 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?

$110

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $110 for this service. The price depends on where it is billed: about $107 from a physician practice, and about $151 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 8 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$89.13 to $174
FacilityA hospital or hospital-owned outpatient department$151$97.72 to $1,660

How much rates vary

Facilitymedian $151 · 10th to 90th $78 to $4,365Professionalmedian $107 · 10th to 90th $58 to $224
$100$200$500$1K$2Kfacility $151professional $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. Small sample; interpret with caution. 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
$2,290.87
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$79.43
Typical High
$100.00
Avera
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$128.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$181.97
Typical High
$302.00
Medica
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$138.04
Typical High
$234.42
Medica
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$173.78
Typical High
$776.25
Midlands
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$223.87
Midlands
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$199.53
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$144.54
Typical High
$199.53
United
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$1,659.59
Typical High
$1,659.59
United
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$144.54
Typical High
$245.47
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$144.54
Typical High
$257.04

Where South Dakota 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.

South Dakota· 34th of 51

$110

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.