CPT 10021 Surgery - Integumentary
Fna bx w/o img gdn 1st les Cost
Body System: Integumentary
Medicare Facility Rate
$46
CMS PFS CY2026
Medicare Non-Facility Rate
$101
Office/clinic setting
Hospital Outpatient
$415
OPPS rate
Surgery Center (ASC)
$63
ASC rate
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
1.00
Work RVU
0.24
Facility PE RVU
0.14
Malpractice RVU
3.02
Total RVU
Frequently Asked Questions
How much does Fna bx w/o img gdn 1st les cost?
The Medicare facility rate is $46. Commercial insurance typically pays 150-250% of Medicare rates (varies). Hospital outpatient rate: $415. Ambulatory surgery center rate: $63.
How much does Fna bx w/o img gdn 1st les cost without insurance?
Without insurance, you may pay the hospital's chargemaster rate, which is often 300-500% of Medicare. Ask about cash-pay discounts — many facilities offer 20-40% off for self-pay patients. The Medicare baseline for this procedure is $46.