CPT 56606 Surgery - Female Genital
Biopsy of vulva/perineum Cost
Body System: Reproductive
Medicare Facility Rate
$25
CMS PFS CY2026
Medicare Non-Facility Rate
$39
Office/clinic setting
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
0.54
Work RVU
0.13
Facility PE RVU
0.09
Malpractice RVU
1.17
Total RVU
Frequently Asked Questions
How much does Biopsy of vulva/perineum cost?
The Medicare facility rate is $25. Commercial insurance typically pays 150-250% of Medicare rates (varies).
How much does Biopsy of vulva/perineum 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 $25.