Fine needle aspiration biopsy, first growth
Medicare pricing data for 3,123 providers across 49 states
Prices vary significantly by location — from $46 in North Dakota to $115 in District of Columbia. Where you get this procedure matters more than almost any other factor. This is a specialized procedure with relatively few Medicare claims. Pricing data may be less reliable due to smaller sample sizes. Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.
💡 What You Should Know
Fine needle aspiration biopsy, first growth (HCPCS code 10021) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $90.59, but hospitals typically charge $341.21 — a 3.8x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $90.59, your out-of-pocket cost would be approximately $18.12. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 3.8x more than what Medicare allows for this procedure. Medicare actually pays $69.37 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| District of Columbia | $115 | $306 | 14 | 86 | +27.4% |
| Hawaii | $109 | $266 | 12 | 21 | +20.2% |
| New Jersey | $103 | $382 | 125 | 271 | +14.0% |
| Connecticut | $103 | $346 | 43 | 74 | +13.8% |
| California | $102 | $361 | 240 | 567 | +12.2% |
| Maryland | $100 | $315 | 86 | 241 | +10.6% |
| Nevada | $99 | $257 | 6 | 28 | +9.0% |
| New York | $98 | $633 | 237 | 637 | +8.4% |
| Massachusetts | $96 | $433 | 93 | 188 | +6.0% |
| South Dakota | $95 | $334 | 6 | 21 | +5.4% |
| Delaware | $94 | $252 | 10 | 42 | +3.8% |
| Rhode Island | $94 | $355 | 16 | 20 | +3.4% |
| Illinois | $93 | $360 | 94 | 216 | +2.2% |
| Colorado | $92 | $332 | 57 | 107 | +1.5% |
| Pennsylvania | $90 | $305 | 142 | 341 | -0.6% |
| North Carolina | $89 | $324 | 136 | 305 | -1.2% |
| Texas | $89 | $315 | 172 | 375 | -1.7% |
| Utah | $88 | $342 | 32 | 54 | -2.8% |
| New Mexico | $88 | $315 | 9 | 15 | -3.0% |
| Florida | $87 | $273 | 286 | 682 | -3.5% |
| Tennessee | $87 | $304 | 54 | 124 | -3.7% |
| Iowa | $87 | $314 | 33 | 75 | -3.8% |
| Washington | $87 | $346 | 62 | 279 | -4.0% |
| Indiana | $87 | $264 | 45 | 92 | -4.1% |
| Arizona | $87 | $251 | 71 | 272 | -4.3% |
| Kentucky | $87 | $270 | 34 | 64 | -4.3% |
| Louisiana | $87 | $285 | 53 | 111 | -4.3% |
| Idaho | $86 | $243 | 11 | 15 | -4.7% |
| Missouri | $86 | $291 | 58 | 132 | -4.8% |
| Virginia | $86 | $331 | 73 | 178 | -4.9% |
| Oregon | $86 | $342 | 50 | 104 | -5.1% |
| Michigan | $86 | $243 | 96 | 210 | -5.4% |
| South Carolina | $85 | $291 | 78 | 204 | -6.1% |
| Wisconsin | $85 | $533 | 40 | 61 | -6.2% |
| Oklahoma | $85 | $273 | 39 | 119 | -6.4% |
| Wyoming | $85 | $343 | 9 | 18 | -6.4% |
| Alabama | $85 | $191 | 62 | 97 | -6.7% |
| Arkansas | $83 | $259 | 34 | 75 | -8.0% |
| Georgia | $83 | $318 | 117 | 270 | -8.4% |
| Kansas | $82 | $232 | 39 | 99 | -9.2% |
| Nebraska | $82 | $273 | 31 | 56 | -9.6% |
| Minnesota | $82 | $395 | 22 | 37 | -9.8% |
| Mississippi | $82 | $268 | 22 | 86 | -9.9% |
| West Virginia | $80 | $323 | 16 | 24 | -12.2% |
| Ohio | $79 | $313 | 115 | 287 | -12.8% |
| New Hampshire | $78 | $386 | 16 | 30 | -14.4% |
| Maine | $52 | $253 | 10 | 16 | -42.8% |
| Vermont | $50 | $241 | 11 | 26 | -44.6% |
| North Dakota | $46 | $217 | 11 | 32 | -48.9% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
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