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Lip Biopsy

Arkansas 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?

$123

Typical negotiated rate. In Arkansas, July 2026.

Insurers have agreed to pay about $123 for this service. The price depends on where it is billed: about $115 from a physician practice, and about $219 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 6 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$115$77.62 to $141
FacilityA hospital or hospital-owned outpatient department$219$151 to $1,288

How much rates vary

Facilitymedian $219 · 10th to 90th $93 to $1,820Professionalmedian $115 · 10th to 90th $65 to $166
$100.0$200.0$500.0$1.0K$2.0Kfacility $219professional $115

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
$89.13
Median
$1,071.52
Typical High
$2,454.71
Aetna
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$114.82
Typical High
$165.96
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$162.18
Typical High
$190.55
BCBS
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$288.40
BCBS
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$97.72
Typical High
$169.82
Cigna
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$346.74
Typical High
$346.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$123.03
Typical High
$204.17
Qualchoice
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$186.21
Typical High
$218.78
United
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$407.38
Typical High
$741.31
United
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$114.82
Typical High
$181.97

Where Arkansas 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.

Arkansas $123 · 45th 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.