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Lip Biopsy

Kentucky 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?

$115

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $115 for this service. The price depends on where it is billed: about $115 from a physician practice, and about $851 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$115$79.43 to $148
FacilityA hospital or hospital-owned outpatient department$851$100 to $8,511

How much rates vary

Facilitymedian $851 · 10th to 90th $85 to $11,220Professionalmedian $115 · 10th to 90th $66 to $191
$100$200$500$1K$2K$5K$10Kfacility $851professional $115

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
$85.11
Median
$147.91
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$120.23
Typical High
$218.78
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,801.89
Median
$10,715.19
Typical High
$11,220.18
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$87.10
Typical High
$141.25
CareSource
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$79.43
Typical High
$93.33
CareSource
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$87.10
Typical High
$104.71
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$100.00
Typical High
$100.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$131.83
Typical High
$660.69
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$602.56
Typical High
$1,949.84
United
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$114.82
Typical High
$186.21

Where Kentucky sits

The same service costs 2.4 times more in Wyoming than in Kentucky. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Kentucky· 51st of 51

$115

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.