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Lip Biopsy

Colorado 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?

$135

Typical negotiated rate. In Colorado, July 2026.

Insurers have agreed to pay about $135 for this service. The price depends on where it is billed: about $120 from a physician practice, and about $3,020 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 7 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$120$74.13 to $138
FacilityA hospital or hospital-owned outpatient department$3,020$1,549 to $5,370

How much rates vary

Facilitymedian $3,020 · 10th to 90th $126 to $7,413Professionalmedian $120 · 10th to 90th $69 to $209
$50.0$200.0$1.0K$5.0Kfacility $3,020professional $120

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
$125.89
Median
$3,235.94
Typical High
$8,709.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$117.49
Typical High
$199.53
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$3,388.44
Typical High
$8,511.38
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$128.82
Typical High
$223.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$128.82
Typical High
$208.93
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$123.03
Typical High
$190.55
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$177.83
Typical High
$426.58
Select Health
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$112.20
Typical High
$263.03
Select Health
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$67.61
Typical High
$79.43
United
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$1,318.26
Typical High
$2,691.53
United
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$134.90
Typical High
$239.88

Where Colorado 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.

Colorado $135 · 27th 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.