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Lip Biopsy

Illinois 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 negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $132 for this service. The price depends on where it is billed: about $126 from a physician practice, and about $437 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$126$100 to $174
FacilityA hospital or hospital-owned outpatient department$437$138 to $1,778

How much rates vary

Facilitymedian $437 · 10th to 90th $87 to $5,129Professionalmedian $126 · 10th to 90th $69 to $251
$50.0$200.0$1.0K$5.0Kfacility $437professional $126

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
$69.18
Median
$436.52
Typical High
$5,370.32
Aetna
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$125.89
Typical High
$275.42
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
BCBS
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$371.54
Typical High
$1,258.93
BCBS
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$123.03
Typical High
$213.80
Cigna
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$128.82
Typical High
$213.80
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$173.78
Typical High
$363.08
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$87.10
Typical High
$162.18
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$630.96
Typical High
$2,089.30
United
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$128.82
Typical High
$223.87

Where Illinois 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.

Illinois $132 · 29th 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.