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Lip Biopsy

Oregon 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?

$155

Typical negotiated rate. In Oregon, July 2026.

Insurers have agreed to pay about $155 for this service. The price depends on where it is billed: about $141 from a physician practice, and about $234 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 8 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$141$117 to $229
FacilityA hospital or hospital-owned outpatient department$234$158 to $245

How much rates vary

Facilitymedian $234 · 10th to 90th $110 to $324Professionalmedian $141 · 10th to 90th $78 to $389
$100.0$1.0K$10.0K$100.0K$1.0Mfacility $234professional $141

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
$173.78
Median
$251.19
Typical High
$7,943.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$134.90
Typical High
$426.58
Cigna
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$177.83
Typical High
$309.03
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$144.54
Typical High
$288.40
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$151.36
Typical High
$275.42
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$199.53
Typical High
$275.42
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$239.88
Typical High
$245.47
Providence
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$151.36
Typical High
$281.84
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$165.96
Typical High
$309.03
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$794.33
Typical High
$1,023.29
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$204.17
Typical High
$346.74
United
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$1,122.02
Typical High
$5,128.61
United
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$177.83
Typical High
$309.03

Where Oregon 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.

Oregon $155 · 11th 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.