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Lip Biopsy

Alabama rates for HCPCS 40490

This procedure removes a small sample of tissue from the lip to be examined in a lab. It is used to help diagnose a lesion, sore, or other abnormal area on the lip.

Rates data updated July 2026.

How much does Lip Biopsy cost?

$141

Typical negotiated rate. In Alabama, July 2026.

Insurers have agreed to pay about $141 for this service. The price depends on where it is billed: about $126 from a physician practice, and about $1,259 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 4 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$126$87.10 to $170
FacilityA hospital or hospital-owned outpatient department$1,259$891 to $1,622

How much rates vary

Facilitymedian $1,259 · 10th to 90th $372 to $2,042Professionalmedian $126 · 10th to 90th $66 to $240
$50.0$100.0$200.0$500.0$1.0K$2.0Kfacility $1,259professional $126

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
$954.99
Median
$1,258.93
Typical High
$2,398.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$138.04
Typical High
$239.88
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$1,513.56
Typical High
$2,041.74
BCBS
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$131.83
Typical High
$208.93
Cigna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$120.23
Typical High
$213.80
United
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$645.65
Typical High
$1,548.82
United
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$95.50
Typical High
$147.91

Where Alabama sits

The same service costs 2.4 times more in Wyoming than in Kentucky. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Alabama $141 · 18th of 51
WY $275KY $115

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.