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Lip Biopsy

Washington, DC 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?

$120

Typical physician fee. In Washington, DC, July 2026.

Insurers have agreed to pay about $120 for this service. Most negotiated rates run $79.43 to $148.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $1,698 · 10th to 90th $79 to $7,762Professionalmedian $117 · 10th to 90th $69 to $182
$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0Kfacility $1,698professional $117

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
$79.43
Median
$2,137.96
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$117.49
Typical High
$147.91
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$81.28
Typical High
$851.14
Cigna
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$107.15
Typical High
$208.93
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$147.91
Typical High
$288.40
United
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$549.54
Typical High
$1,548.82
United
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$120.23
Typical High
$194.98

Where Washington, DC 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.

Washington, DC $120 · 47th 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.