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Lip Biopsy

Missouri 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?

$158

Typical negotiated rate. In Missouri, July 2026.

Insurers have agreed to pay about $158 for this service. The price depends on where it is billed: about $138 from a physician practice, and about $1,622 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$138$100 to $200
FacilityA hospital or hospital-owned outpatient department$1,622$676 to $3,162

How much rates vary

Facilitymedian $1,622 · 10th to 90th $120 to $5,248Professionalmedian $138 · 10th to 90th $74 to $575
$50.0$200.0$1.0K$5.0Kfacility $1,622professional $138

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
$3,162.28
Typical High
$7,413.10
Aetna
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$144.54
Typical High
$602.56
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$1,778.28
Typical High
$3,981.07
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$123.03
Typical High
$204.17
BCBS
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$117.49
Typical High
$162.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$125.89
Typical High
$199.53
Medica
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$151.36
Typical High
$891.25
Medica
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$208.93
Typical High
$912.01
United
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$549.54
Typical High
$1,445.44
United
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$128.82
Typical High
$263.03

Where Missouri 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.

Missouri $158 · 10th 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.