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CostHelper > Health & Personal Care  > Tests, X-Rays & Imaging > Biopsy

Biopsy Cost


How Much Does a Biopsy Cost?

 
average costWith Insurance: Copays and/or Coinsurancehigh costWithout Insurance: $150-$10,000 or more Depending on the Type
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A biopsy is removal of a small amount of tissue so it can be examined in a laboratory to check for disease.

Typical costs:

  • For patients not covered by health insurance, the cost of a skin biopsy ranges from $150 to $1,000. A needle biopsy performed in a doctor's office would be at the lower end of the range, while a surgical biopsy would be at the higher end of the range.
  • For patients not covered by health insurance, the cost of a breast biopsy ranges from $1,000 to $5,000. A needle biopsy performed in a doctor's office would be at the lower end of the range, while a surgical biopsy performed in a hospital would be at the higher end.
  • For patients not covered by health insurance, the cost of a liver biopsy ranges from $2,000 to $7,000 or more.
  • For patients not covered by health insurance, the cost of a kidney biopsy ranges from $3,000 to $10,000.
  • A biopsy would be considered medically necessary when ordered by a doctor and would almost always be covered by health insurance.
  • For patients covered by health insurance, typical out-of-pocket costs would include either a copay or coinsurance, usually ranging from 10 to 40 percent of the total cost.
Related articles: Colonoscopy, Mammogram, Virtual Colonoscopy

What should be included:
  • There are several types of biopsies, according to the National Institutes of Health[1] . In a needle, or percutaneous, biopsy, the doctor uses a needle and syringe, sometimes guided by a CT scan, to remove a piece of tissue in the area of concern. In an open biopsy, with the patient under general anesthesia, the surgeon makes an incision and removes a piece of tissue. In a closed biopsy, the surgeon makes a much smaller cut than in an open biopsy, and uses a tiny camera as a guide. Then, the sample is analyzed in a laboratory and the results are reported back to the physician.
  • The National Institutes of Health offers descriptions of a bone marrow biopsy[2] , rectal biopsy[3] , lung biopsy[4] , liver biopsy[5] , skin lesion biopsy[6] , breast biopsy[7] and a kidney biopsy[8] .
Additional costs:
  • Using imaging technology such as ultrasound to guide a biopsy can add to the cost.
Discounts:
  • Some hospitals offer a discount of 10 percent or more to uninsured patients or patients who make an arrangement to pay ahead of time.
Shopping for a biopsy:
  • A primary care physician can make a referral to a radiologist, a surgeon or another specialist for a biopsy, depending on the body part and type of biopsy needed.
  • For example, a bone marrow biopsy often is performed by a hematologist; a skin biopsy by a dermatologist; a kidney biopsy by a urologist; a lung biopsy by a pulmonologist; a breast biopsy by a gynecologist; and a GI tract or liver biopsy by a gastroenterologist.
  • After the biopsy, the tissue usually should be evaluated by a board-certified pathologist for diagnosis.
  • Any specialist involved should be certified by a board that is a member of the American Board of Medical Specialties[9] .
Material on this page is for informational purposes only and should not be construed as medical advice. Always consult your physician or pharmacist regarding medications or medical procedures.
 
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What People Are Paying - Recent Comments

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UPDATE to Stereotactic Breast Biopsy (posted March 13, 2018)
Amount: $705.00
Posted by: Much wiser now in Central VA in Esmont, VA.Posted: May 5th, 2018 02:05AM
Medical Center: VA Breast CenterInsurance: Optima Health
After receiving a bill for $2,800 I requested an itemized bill and discovered that I had been billed twice for two of the items! They billed for a bilateral biopsy when I only had it done in one breast. After the bill was refigured my part was $705. I believe that centers double bill on purpose, hoping that you'll pay - in other words they throw it against the wall to see what sticks. They need to be investigated. Never pay before seeing an itemized bill!
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Breast Needle Biopsy
Amount: $9,400.00
Posted by: a user in Winfield, IL.Posted: March 20th, 2018 09:03AM
Medical Center: Northwestern Medicine Central DuPage HosInsurance: Aetna
What they did is that they took a sample with a needle using ultrasound. That's it. It's not surgery or anything like that. The procedure took about 20 minutes. Insurance covered about 75% and now I have to pay $2200. Nobody checks or controls these con artists!
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Stereotactic Breast Biopsy
Amount: $0.00
Posted by: Much wiser now in Central, VA.Posted: March 13th, 2018 12:03PM
Medical Center: Central VirginiaInsurance: Optima Health
2018: Microcalcifications were found on mammogram. Breast center courted me like the devil with calls and letters to come in for biopsy, the sooner the better, etc. Doctor and staff were professional, but after getting the bill ($6,100 for less than an hour procedure) my part would be $2,800. I haven't paid yet, I'm going to call them to fight at least some of it. I'm glad it was benign, but what gets me is after the procedure, no followup at all from the office, they didn't even call me with the result, I ended up calling them a week after the biopsy. Truthfully, I feel used. These centers use scare tactics to get women in, but don't get back to you except to send you a whopping bill! Very lucrative business for them!
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Breast Needle Biopsy
Amount: $28,610.00
Posted by: Arthur T. in Portland, OR.Posted: February 15th, 2018 03:02PM
Medical Center: Legacy Health SystemsInsurance: Regence
For an outpatient Breast Needle biopsy that took 1 hour in and out. Legacy billed $5,201.41 - Regence discounted it to $3,178.90 - I called Legacy and asked for further discount because we have high deductible. They took 10% off. Final cost I paid was $2,861.00. We received good service but I think that is still very overpriced.
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Needle biopsy (Breast)
Amount: $16,000.00
Posted by: Screwed by the Medical System in Tulsa, OK.Posted: January 3rd, 2018 09:01AM
Medical Center: Hillcrest and ChapmanInsurance: Yes
I was in shock. I went to the Chapman center and they did the Biopsy there, but Hillcrest billed the insurance company total cost so far 16,000. insurance covered some I had to pick up 6000. so far. I felt they should have told me they were billing under a different name. Hillcrest is not a part of my network.... Will not go back....
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Skin biopsy on nose
Amount: $474.00
Posted by: Fcindyf in Torrance, CA.Posted: March 2nd, 2017 09:03PM
Medical Center: Horizon dermatologyInsurance: Medical
I have medical and they said they accept medical but not fully, it only deducts from the cost. They did a simple 5 minute biopsy in the office, afterwards the PA who did the biopsy, told me it would cost extra. I paid $208 at the office. She did not tell me that the lab would bill me! I just got the lab bill and it is $284!!!!! I'm so angry I wasn't told it would cost extra!!!!
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Brest Biopsy
Amount: $6,122.00
Posted by: a user in Toledo, OH.Posted: October 13th, 2016 01:10PM
Medical Center: Toledo Hospital Brest CenterInsurance: Medical Mutual
This was a procedure less than 1 hour.
Lab $ 274.00
Procedure $5123.00
Radiology $ 369.00
Supplies $ 356.00
Insurance adjusted $3014.42 for a balance due of $3107.58
I don't know if there are any additional charges as this is the first bill I received for this procedure.
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Needle biopsy of breast cyst
Amount: $12,000.00
Posted by: Debbie D in Lake success, NY.Posted: October 1st, 2016 07:10AM
Medical Center: Northwell advanced radiologyInsurance: Aetna
I had a needle aspiration of cysts, 1 in each breast. It was a 30 minute procedure where they radiologist inserted a needle with ultrasound guidance in each cyst and sucked out fluid. 2 needles, 2 bandaids. The cost they billed for the procedure including doctors and labs was approx $13,000. Aetna billed as outpatient surgery and I have 30% coinsuramce with $1000 deductible/$4000 out of pocket. I have to pay $1500 - for 2 needle pocks and 2 bandaids. this is criminal. Oh, all was benign. Plus the Mammo that started this all was billed as diagnostic (even though it was my annual) so I'm being charged another $450 for that when it should be $0.
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Fine Needle Aspiration Biopsy
Amount: $150.99
Posted by: a user in San Francisco, CA.Posted: June 18th, 2016 08:06PM
Medical Center: UCSF FNA ClinicInsurance: United Healthcare Choice Plus PPO
Lab Path was $1503, Treatment/Observation was $1388, then the insurance payment was $1359 with a separate insurance adjustment of $1381, assuming that's UCSF not bothering with the negotiated UnitedHealthcare reimbursement. 10% coinsurance meant I was around $151
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Mammography Guided Stereotactic Breast Biopsy
Amount: $1,000.00
Posted by: VAH in Portland, OR.Posted: May 9th, 2016 02:05PM
Medical Center: Safeway Breast Foundation PortlandInsurance: Providence Health Plan
So my cost is actually more than that b/c I had not yet met my deductible. The procedure itself is likely $5000 according to the business office for my radiologist, though they have not yet filed the claim. My insurance pays 80% after I meet my deductible. Procedure took about 1 hour, and results came back benign. I will say that the care I received was excellent. I just find the cost a little surprising.
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mole biposy
Amount: $500.00
Posted by: william russell in westminster, CA.Posted: April 15th, 2016 09:04PM
Medical Center: fountain valley hospInsurance: medicare]
Dr. bill for exam/freeze off some pre cancer bumps
and surgery for mole growing on lower eye lid was
under 500.00-excellent the biopsy costs seems
impossible.Seems that these costs vary greatly and
are for most part way overpriced. I will be in china
next few weeks maybe we should look at this work going off shore...when their I will compare costs
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Breast Biopsy
Amount: $0.00
Posted by: McFadden in Clearlake Oaks, CA.Posted: March 14th, 2016 05:03PM
Medical Center: Ukiah ValleyInsurance: Anthem Blue Cross
I was told I had 3 options, watchful waiting (not recommended), a needle biopsy, or a full surgical biopsy, which the surgeon recommended because I had a prior biopsy with a-typical ductal cells...
So they said the procedure is $11k and I would have to pay $5000... or they could do a "self pay" and I will only pay $2,336. So now I am considering to not get it done... Research shows that 25% of biopsies come back positive... so I think I will wait. I can't change my insurance until next Sept.
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thyroid needle biopsy
Amount: $18,000.00
Posted by: workingclassfool in Miami, FL.Posted: October 18th, 2015 08:10PM
Medical Center: uhealthInsurance: cigna
Total time spent: 40 minutes.Biopsy results:not enough cells for the doctor to render a diagnosis Amount charged definitelyexorbitant,due to the fact that it is a "hospital based facility".Considering you can buy a car for the price of a non-surgical exam with failed results,(we still donot know if it`s malignant)you can see the absurd injustice of our medical billing system.
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Stereotactic Biopsy
Amount: $4,500.00
Posted by: N Page in Philadelphia, PA.Posted: May 26th, 2015 07:05PM
Medical Center: Women's HealthInsurance: multi limited plan Standard Life
I was told the doctor is paid 100% anesthesia 20% and the facility $75.00. This is what my insurance covers. The Facility use and equipment, my cost,
$4500 for about 30 mins. No lumps, two mammograms with "something" seen in both by radiologist, but on third visit with actual doctor and a second ultra sound, nothing seen..but the doctor now sees something else, close to the surface, but stymied. No lumps, discoloring,raised marked, no history in family of breast cancer.
So just to be sure it is nothing, need this biopsy. Glad I called my insurance carrier. I cannot imagine a facility, not an operating room, charging this cost and that is a lower cost of what they would accept from the insurance company if it were covered. Cancelled my appointment and getting a second opinion on the films and ultra sound. No feeling very confident in who saw what!
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Pancratic Biopsy
Amount: $17,700.00
Posted by: Dean M in Murry Ut, UT.Posted: May 16th, 2015 08:05AM
Medical Center: Intermount Medical CtrInsurance: Blue Cross
Original cost billed to insurance was $25,000.00. Did NOT include Dr. Fee ($380), or Pathologist Fees. Total time from out-patient check in to check out was less that 3 hrs. With the high insurance premiums and inflated medical costs I'm not sure either one is looking out for our interests.
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tongue biopsy
Amount: $727.00
Posted by: John Hughes in Falls Church, VA.Posted: April 23rd, 2015 01:04PM
Medical Center: VA maxiofficalInsurance: bluecross/bluesheild
BBC says the most they pay out for this procedure is $202.
Has anyone had this procedure done for such a low amount?
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Needle Breast Biopsy in OKC
Amount: $10,000.00
Posted by: Blind Sided in OKC, OK.Posted: April 17th, 2015 10:04AM
Medical Center: Integris Breast CenterInsurance: United Health Care
I also was encouraged to do a "let's be sure but probably nothing" follow with biopsy done in an office setting in OKC March 2015. Office personnel acted as if this was just a run of the mill procedure & did not have me sign any special paperwork or discuss costs. Live and Learn!! After receiving their bill & the radiologists bill, total cost is nearly $10,000. My portion after insurance will be almost $3000.00 Ask questions!! See what cost is without insurance, it may be cheaper!
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Mammography Stereostatic Biopsy
Amount: $12,800.00
Posted by: JLY in walnut Creek, CA.Posted: April 7th, 2015 09:04AM
Medical Center: John Muir Hospital Walnut Creek, CAInsurance: Blue Shield
I have not had the procedure yet but I am told it will be approximately the price above. I have a 20% co-insurance which would be $2560.00. The hospital is coding the procedure as a "surgery" hence the 20% co-insurance, for a one hour, outpatient needle biopsy. This is outragious. It should be classified as preventative with a copay so those who can not afford 20% of an outragious price can at least have it done.
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Mole
Amount: $900.00
Posted by: Tfree in Boise, ID.Posted: January 3rd, 2015 07:01AM
Medical Center: Boise PathologyInsurance: No
St. Lukes sent a mole my Dr. cut out and stitched up to Boise Pathology. Mr. Dr. said it looked like cancer so let’s cut it out. No problem.
Problem - St. Lukes sent it to Boise Pathology on their own. No request from Dr. or me. the result $900.00 for a report nobody even cares about. It;s gone and nice stitches too!
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simple 5 minute skin biopsy
Amount: $1,100.00
Posted by: a user in Issaquah, WA.Posted: December 10th, 2014 12:12PM
Medical Center: Narra DermatologyInsurance: none
Got billed $500 for the procedure, which took about 5 minutes from a small needle apparatus. The following lab fees amounted to $600. Perhaps they should rip my balls off while they're at it
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Breast Biopsy
Amount: $6,666.50
Posted by: CBRH in Seattle, WA.Posted: December 5th, 2014 07:12AM
Medical Center: Seattle Cancer Care AllInsurance: Cigna
No one ever explained the cost of the 30 minute procedure and I am stuck with 20% or $1200 for the needle biopsy out of pocket. I have no family history and would probably have declined the 'let's just be sure' procedure if someone had explained the cost. It was benign...
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biospy on toenail-crazy
Amount: $0.00
Posted by: Danni Smith in Roselle, IL.Posted: December 2nd, 2014 04:12PM
Medical Center: Dr. ForniInsurance: medicare
I was ertain I had a fungus on the large toe. The problem had been developing for about two or three years as the toenail was getting yellow and ridged. Went to a podiatrist. He said it looks like a fungus. He cut off the part that was detaching, about 1/4 inch, and said he'll do a culture. Sold me a small bottle of medicine to apply daily for $35.00. Never heard the results of the culture, medicine was slowing working, slow process, assumed it was a fungus as he diagnosed. Surprised when I rec'd a $300.00 invoice, marked PAST DUE, with payment due in 9 days. Billing party said it was for a biopsy, had to check for cancer. Cancer in dead tissue? Give me a break. I authorized culture, about $87.00 in my area, not biopsy on a little piece of toe nail. Biopsy is an invasive procedure. Docs have to tell u what they are doing & u have the right to refuse. I would have said I'll wait and see if the medicine helps.
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Aspiration biopsy pathology cost
Amount: $14,810.00
Posted by: Barbi in New Brunswick, NJ.Posted: November 9th, 2014 11:11AM
Medical Center: St.peters universityInsurance: None
I had a needle aspiration of a lymph node in my neck. The procedure was done in the doctors office and cost 648.00. I just received my pathology bill from the hospital for $14,810.00!
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Breast Biopsy
Amount: $4,507.37
Posted by: Concerned Husband in Arlington, TX.Posted: October 31st, 2014 12:10PM
Medical Center: Texas HealthInsurance: BCBS
24 year old wife in for procedure that is quoted at $4507.37 during registration. When talking possibility of breast cancer, who wouldn't pay to care for a loved one? The entire medical field knows this. If everyone paid their share, rather than showing up to ER for sniffles, it would be a little more reasonable. So basically I am paying for those who don't, just like my tax dollars. We are insured.
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External Resources:
  1.  www.nlm.nih.gov/medlineplus/ency/article/003416.htm
  2.  www.nlm.nih.gov/medlineplus/ency/article/003934.htm
  3.  www.nlm.nih.gov/medlineplus/ency/article/003891.htm
  4.  www.nlm.nih.gov/medlineplus/ency/article/003860.htm
  5.  www.nlm.nih.gov/medlineplus/ency/article/003895.htm
  6.  www.nlm.nih.gov/medlineplus/ency/article/003840.htm
  7.  www.nlm.nih.gov/medlineplus/ency/article/003920.htm
  8.  www.nlm.nih.gov/medlineplus/ency/article/003907.htm
  9.  www.certificationmatters.org/about-board-certified-doctors/whats-so-special-about-speci...
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