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Eyelid Tissue Biopsy

South Dakota rates for HCPCS 67810

A small piece of tissue is cut from the eyelid and sent to a lab for examination, used to help diagnose an unclear growth, lesion, or area of concern on the eyelid. It's a limited sampling procedure rather than complete removal of the lesion.

Rates data updated July 2026.

How much does Eyelid Tissue Biopsy cost?

$251

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $251 for this service. The price depends on where it is billed: about $251 from a physician practice, and about $191 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$251$132 to $427
FacilityA hospital or hospital-owned outpatient department$191$97.72 to $468

How much rates vary

Facilitymedian $191 · 10th to 90th $63 to $4,365Professionalmedian $251 · 10th to 90th $79 to $537
$50$100$200$500$1K$2Kfacility $191professional $251

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
$70.79
Median
$2,290.87
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$309.03
Typical High
$645.65
Avera
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$138.04
Cigna
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$309.03
Typical High
$537.03
Medica
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$162.18
Typical High
$436.52
Medica
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$275.42
Typical High
$691.83
Midlands
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$398.11
Typical High
$436.52
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$251.19
Typical High
$346.74
United
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$812.83
Typical High
$812.83
United
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$194.98
Typical High
$489.78
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$141.25
Typical High
$457.09

Where South Dakota sits

The same service costs 3.0 times more in Alaska than in Maine. 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· 6th of 51

$251

AK $389ME $129

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.