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Lip Biopsy

North Dakota 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?

$135

Typical negotiated rate. In North Dakota, July 2026.

Insurers have agreed to pay about $135 for this service. The price depends on where it is billed: about $135 from a physician practice, and about $120 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 5 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$135$115 to $234
FacilityA hospital or hospital-owned outpatient department$120$70.79 to $126

How much rates vary

Facilitymedian $120 · 10th to 90th $65 to $2,042Professionalmedian $135 · 10th to 90th $66 to $288
$100.0$200.0$500.0$1.0K$2.0K$5.0Kfacility $120professional $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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$120.23
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$120.23
Typical High
$199.53
BCBS
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$181.97
Typical High
$288.40
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$213.80
Typical High
$331.13
Medica
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$125.89
Typical High
$213.80
Medica
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$234.42
Typical High
$912.01
United
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$2,041.74
Typical High
$2,041.74
United
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$141.25
Typical High
$251.19

Where North Dakota 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.

North Dakota $135 · 26th 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.