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Lip Biopsy

Maine 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?

$123

Typical physician fee. In Maine, July 2026.

Insurers have agreed to pay about $123 for this service. Most negotiated rates run $83.18 to $170.

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

Professionalmedian $123 · 10th to 90th $69 to $229
$50.0$100.0$200.0$500.0$1.0K$2.0Kprofessional $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
Professional
Modifier
Global
Typical Low
$66.07
Median
$117.49
Typical High
$257.04
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$120.23
Typical High
$199.53
Cigna
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$154.88
Typical High
$275.42
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$134.90
Typical High
$229.09
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$112.20
Typical High
$213.80
United
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$134.90
Typical High
$239.88

Where Maine 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.

Maine $123 · 44th 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.