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Lip Biopsy

South Carolina 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?

$123

Typical negotiated rate. In South Carolina, July 2026.

Insurers have agreed to pay about $123 for this service. The price depends on where it is billed: about $120 from a physician practice, and about $501 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$120$81.28 to $145
FacilityA hospital or hospital-owned outpatient department$501$145 to $1,318

How much rates vary

Facilitymedian $501 · 10th to 90th $81 to $21,878Professionalmedian $120 · 10th to 90th $68 to $269
$50.0$200.0$1.0K$5.0K$20.0Kfacility $501professional $120

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
$81.28
Median
$199.53
Typical High
$22,908.68
Aetna
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$120.23
Typical High
$281.84
BCBS
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$891.25
Typical High
$1,479.11
BCBS
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$112.20
Typical High
$169.82
Cigna
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$123.03
Typical High
$123.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$125.89
Typical High
$186.21
Medcost
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$173.78
Medcost
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$123.03
Typical High
$194.98
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$1,148.15
Typical High
$4,677.35
United
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$109.65
Typical High
$173.78

Where South Carolina 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.

South Carolina $123 · 43rd 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.