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Lip Biopsy

Delaware 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 physician fee. In Delaware, July 2026.

Insurers have agreed to pay about $123 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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $8,318 · 10th to 90th $7,244 to $8,318Professionalmedian $120 · 10th to 90th $68 to $182
$100.0$200.0$500.0$1.0K$2.0K$5.0Kfacility $8,318professional $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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$7,244.36
Median
$8,317.64
Typical High
$8,317.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$123.03
Typical High
$251.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$107.15
Typical High
$165.96
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$117.49
Typical High
$123.03
United
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$501.19
United
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$102.33
Typical High
$162.18

Where Delaware 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.

Delaware $123 · 46th 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.