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Lip Biopsy

Arizona 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?

$126

Typical negotiated rate. In Arizona, July 2026.

Insurers have agreed to pay about $126 for this service. The price depends on where it is billed: about $126 from a physician practice, and about $2,042 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$126$93.33 to $155
FacilityA hospital or hospital-owned outpatient department$2,042$933 to $3,890

How much rates vary

Facilitymedian $2,042 · 10th to 90th $123 to $6,310Professionalmedian $126 · 10th to 90th $65 to $372
$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0Kfacility $2,042professional $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
$1,819.70
Median
$3,890.45
Typical High
$7,943.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$125.89
Typical High
$371.54
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$81.28
Typical High
$81.28
BCBS
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$1,862.09
Typical High
$3,467.37
BCBS
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$134.90
Typical High
$323.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$112.20
Typical High
$177.83
Medica
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$123.03
Typical High
$1,905.46
Medica
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$134.90
Typical High
$912.01
United
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$954.99
Typical High
$2,137.96
United
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$107.15
Typical High
$154.88

Where Arizona 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.

Arizona $126 · 39th 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.