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Lip Biopsy

Hawaii 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?

$132

Typical physician fee. In Hawaii, July 2026.

Insurers have agreed to pay about $132 for this service. Most negotiated rates run $79.43 to $158.

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 $2,818 · 10th to 90th $1,122 to $2,818Professionalmedian $129 · 10th to 90th $71 to $174
$20.0$50.0$100.0$200.0$500.0$1.0K$2.0Kfacility $2,818professional $129

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
$2,818.38
Median
$2,818.38
Typical High
$2,818.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$134.90
Typical High
$158.49
Cigna
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$154.88
Typical High
$190.55
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$141.25
Typical High
$181.97
United
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$1,122.02
Typical High
$1,122.02
United
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$128.82
Typical High
$177.83
University Health Alliance
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$93.33
Typical High
$173.78

Where Hawaii 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.

Hawaii $132 · 30th 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.