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Lip Biopsy

Georgia 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?

$151

Typical negotiated rate. In Georgia, July 2026.

Insurers have agreed to pay about $151 for this service. The price depends on where it is billed: about $145 from a physician practice, and about $2,512 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$145$100 to $234
FacilityA hospital or hospital-owned outpatient department$2,512$1,175 to $4,467

How much rates vary

Facilitymedian $2,512 · 10th to 90th $195 to $6,761Professionalmedian $145 · 10th to 90th $71 to $288
$50.0$200.0$1.0K$5.0Kfacility $2,512professional $145

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
$123.03
Median
$4,570.88
Typical High
$7,413.10
Aetna
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$144.54
Typical High
$281.84
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$87.10
Typical High
$199.53
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$2,511.89
Typical High
$4,168.69
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$165.96
Typical High
$288.40
Cigna
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$134.90
Typical High
$257.04
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$141.25
Typical High
$173.78
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$173.78
Typical High
$194.98
United
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$1,348.96
Typical High
$2,454.71
United
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$138.04
Typical High
$275.42

Where Georgia 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.

Georgia $151 · 12th 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.