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Lip Biopsy

Louisiana 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?

$148

Typical negotiated rate. In Louisiana, July 2026.

Insurers have agreed to pay about $148 for this service. The price depends on where it is billed: about $123 from a physician practice, and about $891 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$123$97.72 to $170
FacilityA hospital or hospital-owned outpatient department$891$331 to $3,162

How much rates vary

Facilitymedian $891 · 10th to 90th $148 to $3,715Professionalmedian $123 · 10th to 90th $74 to $186
$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0Kfacility $891professional $123

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
$100.00
Median
$2,511.89
Typical High
$4,168.69
Aetna
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$125.89
Typical High
$186.21
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$91.20
Typical High
$91.20
BCBS
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$398.11
Typical High
$630.96
BCBS
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$131.83
Typical High
$190.55
Christus
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$56.23
Typical High
$56.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$117.49
Typical High
$199.53
United
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$501.19
Typical High
$1,258.93
United
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$114.82
Typical High
$194.98

Where Louisiana 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.

Louisiana $148 · 15th 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.