go back

Lip Biopsy

Indiana 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?

$126

Typical negotiated rate. In Indiana, July 2026.

Insurers have agreed to pay about $126 for this service. The price depends on where it is billed: about $117 from a physician practice, and about $3,631 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 6 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$117$72.44 to $138
FacilityA hospital or hospital-owned outpatient department$3,631$1,380 to $5,248

How much rates vary

Facilitymedian $3,631 · 10th to 90th $91 to $8,318Professionalmedian $117 · 10th to 90th $68 to $204
$50.0$200.0$1.0K$5.0Kfacility $3,631professional $117

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
$74.13
Median
$144.54
Typical High
$4,897.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$120.23
Typical High
$169.82
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$144.54
Typical High
$169.82
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,570.40
Median
$4,365.16
Typical High
$8,317.64
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$104.71
Typical High
$245.47
CareSource
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$69.18
Typical High
$70.79
Cigna
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$120.23
Typical High
$199.53
United
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$2,137.96
Typical High
$5,754.40
United
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$109.65
Typical High
$199.53

Where Indiana 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.

Indiana $126 · 37th 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.