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Lip Biopsy

New Jersey 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 New Jersey, July 2026.

Insurers have agreed to pay about $126 for this service. The price depends on where it is billed: about $123 from a physician practice, and about $5,888 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$123$75.86 to $155
FacilityA hospital or hospital-owned outpatient department$5,888$1,778 to $9,333

How much rates vary

Facilitymedian $5,888 · 10th to 90th $120 to $11,749Professionalmedian $123 · 10th to 90th $66 to $263
$50.0$200.0$1.0K$5.0K$20.0Kfacility $5,888professional $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
Facility
Modifier
Global
Typical Low
$117.49
Median
$6,456.54
Typical High
$11,748.98
Aetna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$123.03
Typical High
$371.54
AmeriHealth
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$134.90
Typical High
$173.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$117.49
Typical High
$263.03
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$165.96
Typical High
$194.98
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$776.25
Typical High
$1,071.52
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$123.03
Typical High
$234.42
United
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$2,754.23
Typical High
$6,760.83
United
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$93.33
Typical High
$213.80

Where New Jersey 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.

New Jersey $126 · 40th 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.