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Lip Biopsy

Massachusetts 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?

$145

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $145 for this service. The price depends on where it is billed: about $145 from a physician practice, and about $178 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 9 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$145$110 to $234
FacilityA hospital or hospital-owned outpatient department$178$79.43 to $2,692

How much rates vary

Facilitymedian $178 · 10th to 90th $74 to $3,715Professionalmedian $145 · 10th to 90th $68 to $355
$100.0$1.0K$10.0Kfacility $178professional $145

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
$72.44
Median
$2,691.53
Typical High
$5,128.61
Aetna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$147.91
Typical High
$389.05
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$630.96
Typical High
$2,951.21
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$141.25
Typical High
$363.08
BCBS
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$186.21
BCBS
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$173.78
Typical High
$316.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$50.12
Cigna
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$162.18
Typical High
$309.03
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$81.28
Typical High
$3,630.78
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$162.18
Typical High
$208.93
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$2,041.74
Typical High
$3,467.37
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$144.54
Typical High
$309.03
Health New England
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$323.59
Typical High
$323.59
Health New England
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$173.78
Typical High
$229.09
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$630.96
Typical High
$2,951.21
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$141.25
Typical High
$363.08
United
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$1,698.24
Typical High
$2,754.23
United
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$147.91
Typical High
$323.59

Where Massachusetts 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.

Massachusetts $145 · 17th 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.