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Lip Biopsy

Nebraska 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?

$186

Typical negotiated rate. In Nebraska, July 2026.

Insurers have agreed to pay about $186 for this service. The price depends on where it is billed: about $170 from a physician practice, and about $4,467 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 7 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$170$115 to $263
FacilityA hospital or hospital-owned outpatient department$4,467$389 to $10,965

How much rates vary

Facilitymedian $4,467 · 10th to 90th $123 to $14,454Professionalmedian $170 · 10th to 90th $81 to $372
$100.0$500.0$2.0K$10.0Kfacility $4,467professional $170

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
$4,365.16
Median
$8,511.38
Typical High
$14,454.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$169.82
Typical High
$602.56
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$165.96
Typical High
$281.84
BCBS
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$691.83
Typical High
$1,348.96
BCBS
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$128.82
Typical High
$229.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$213.80
Typical High
$363.08
Medica
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$190.55
Typical High
$1,230.27
Medica
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$257.04
Typical High
$912.01
Midlands
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$229.09
Typical High
$363.08
Midlands
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$213.80
Typical High
$269.15
United
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$354.81
Typical High
$3,801.89
United
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$181.97
Typical High
$309.03

Where Nebraska 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.

Nebraska $186 · 7th 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.