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Lip Biopsy

Maryland 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?

$138

Typical physician fee. In Maryland, July 2026.

Insurers have agreed to pay about $138 for this service. Most negotiated rates run $79.43 to $166.

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.

How much rates vary

Facilitymedian $2,291 · 10th to 90th $85 to $2,291Professionalmedian $135 · 10th to 90th $72 to $324
$50.0$100.0$200.0$500.0$1.0K$2.0Kfacility $2,291professional $135

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$2,290.87
Median
$2,290.87
Typical High
$2,290.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$138.04
Typical High
$331.13
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$74.13
Typical High
$89.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$117.49
Typical High
$194.98
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$144.54
Typical High
$263.03
United
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$128.82
Typical High
$151.36
United
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$117.49
Typical High
$208.93
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$128.82
Typical High
$199.53

Where Maryland 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.

Maryland $138 · 24th 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.