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Lip Biopsy

Connecticut 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?

$186

Typical negotiated rate. In Connecticut, July 2026.

Insurers have agreed to pay about $186 for this service. The price depends on where it is billed: about $182 from a physician practice, and about $4,677 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$182$123 to $316
FacilityA hospital or hospital-owned outpatient department$4,677$2,692 to $7,943

How much rates vary

Facilitymedian $4,677 · 10th to 90th $245 to $10,471Professionalmedian $182 · 10th to 90th $85 to $562
$50.0$200.0$1.0K$5.0K$20.0Kfacility $4,677professional $182

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
$245.47
Median
$5,248.07
Typical High
$10,471.29
Aetna
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$181.97
Typical High
$575.44
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$3,162.28
Typical High
$10,471.29
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$169.82
Typical High
$309.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$50.12
Cigna
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$169.82
Typical High
$316.23
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$218.78
Typical High
$33,884.42
Health New England
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$141.25
Typical High
$141.25
United
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$3,981.07
Typical High
$7,079.46
United
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$138.04
Typical High
$263.03

Where Connecticut 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.

Connecticut $186 · 6th 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.