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Lip Biopsy

Florida 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?

$117

Typical negotiated rate. In Florida, July 2026.

Insurers have agreed to pay about $117 for this service. The price depends on where it is billed: about $110 from a physician practice, and about $2,692 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 8 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$110$72.44 to $138
FacilityA hospital or hospital-owned outpatient department$2,692$1,230 to $6,607

How much rates vary

Facilitymedian $2,692 · 10th to 90th $427 to $10,965Professionalmedian $110 · 10th to 90th $65 to $200
$10.0$100.0$1.0K$10.0Kfacility $2,692professional $110

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
$426.58
Median
$3,311.31
Typical High
$12,022.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$112.20
Typical High
$208.93
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$107.15
Typical High
$199.53
AvMed
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$4,073.80
Typical High
$12,302.69
AvMed
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$100.00
Typical High
$131.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$77.62
Typical High
$100.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$109.65
Typical High
$199.53
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$2,511.89
Typical High
$4,365.16
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$89.13
Typical High
$134.90
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$72.44
Typical High
$162.18
United
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$1,412.54
Typical High
$4,168.69
United
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$100.00
Typical High
$186.21
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$93.33
Typical High
$123.03

Where Florida 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.

Florida $117 · 49th 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.