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Lip Biopsy

Iowa 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?

$191

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $191 for this service. The price depends on where it is billed: about $186 from a physician practice, and about $525 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$186$117 to $339
FacilityA hospital or hospital-owned outpatient department$525$229 to $4,266

How much rates vary

Facilitymedian $525 · 10th to 90th $148 to $6,761Professionalmedian $186 · 10th to 90th $100 to $603
$50.0$200.0$1.0K$5.0Kfacility $525professional $186

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
$208.93
Median
$1,778.28
Typical High
$7,943.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$186.21
Typical High
$602.56
Cigna
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$257.04
Typical High
$363.08
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$147.91
Typical High
$281.84
Medica
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$269.15
Typical High
$1,621.81
Medica
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$199.53
Typical High
$512.86
Midlands
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$239.88
Typical High
$380.19
United
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$645.65
Typical High
$2,884.03
United
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$141.25
Typical High
$295.12
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$138.04
Typical High
$263.03

Where Iowa 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.

Iowa $191 · 5th 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.