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Lip Biopsy

Rhode Island 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?

$117

Typical physician fee. In Rhode Island, July 2026.

Insurers have agreed to pay about $117 for this service. Most negotiated rates run $93.33 to $166.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $1,413 · 10th to 90th $525 to $3,981Professionalmedian $117 · 10th to 90th $66 to $234
$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0Kfacility $1,413professional $117

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$3,715.35
Median
$3,715.35
Typical High
$3,981.07
Aetna
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$112.20
Typical High
$234.42
BCBS
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$128.82
Typical High
$165.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$162.18
Typical High
$269.15
United
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$1,230.27
Typical High
$5,128.61
United
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$114.82
Typical High
$204.17

Where Rhode Island 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.

Rhode Island $117 · 50th 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.