go back

Lip Biopsy

Idaho 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?

$138

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $138 for this service. The price depends on where it is billed: about $135 from a physician practice, and about $339 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$135$105 to $204
FacilityA hospital or hospital-owned outpatient department$339$148 to $589

How much rates vary

Facilitymedian $339 · 10th to 90th $100 to $4,467Professionalmedian $135 · 10th to 90th $78 to $240
$50.0$200.0$1.0K$5.0Kfacility $339professional $135

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
$4,466.84
Median
$4,466.84
Typical High
$5,495.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$125.89
Typical High
$363.08
BCBS
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$380.19
Typical High
$630.96
BCBS
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$165.96
Typical High
$239.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$128.82
Typical High
$208.93
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$147.91
Typical High
$309.03
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$199.53
Typical High
$239.88
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$588.84
Typical High
$794.33
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$144.54
Typical High
$263.03
Select Health
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$371.54
Typical High
$588.84
Select Health
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$112.20
Typical High
$112.20
United
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$8,317.64
Typical High
$9,332.54
United
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$128.82
Typical High
$213.80

Where Idaho 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.

Idaho $138 · 21st 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.