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Lip Biopsy

Montana 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?

$126

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $126 for this service. The price depends on where it is billed: about $126 from a physician practice, and about $158 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$126$93.33 to $135
FacilityA hospital or hospital-owned outpatient department$158$120 to $219

How much rates vary

Facilitymedian $158 · 10th to 90th $117 to $257Professionalmedian $126 · 10th to 90th $66 to $209
$100.0$1.0K$10.0K$100.0Kfacility $158professional $126

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
$64.57
Median
$125.89
Typical High
$194.98
BCBS
Setting
Facility
Modifier
Global
Typical Low
$64,565.42
Median
$75,857.76
Typical High
$91,201.08
BCBS
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$107.15
Typical High
$194.98
Cigna
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$107.15
Typical High
$107.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$123.03
Typical High
$213.80
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$208.93
Typical High
$229.09
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$208.93
Typical High
$229.09
Providence
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$117.49
Typical High
$218.78
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$117.49
Typical High
$213.80
United
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$154.88
Typical High
$154.88
United
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$131.83
Typical High
$223.87

Where Montana 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.

Montana $126 · 36th 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.