go back

Lip Biopsy

South Dakota 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?

$135

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $135 for this service. The price depends on where it is billed: about $135 from a physician practice, and about $162 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$135$87.10 to $219
FacilityA hospital or hospital-owned outpatient department$162$107 to $251

How much rates vary

Facilitymedian $162 · 10th to 90th $83 to $813Professionalmedian $135 · 10th to 90th $65 to $339
$100.0$200.0$500.0$1.0K$2.0Kfacility $162professional $135

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
$70.79
Median
$4,365.16
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$107.15
Typical High
$338.84
Avera
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$138.04
Avera
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$114.82
Typical High
$257.04
Cigna
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$199.53
Typical High
$363.08
Medica
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$162.18
Typical High
$338.84
Medica
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$257.04
Typical High
$912.01
Midlands
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$165.96
Typical High
$288.40
Midlands
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$147.91
Typical High
$257.04
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$169.82
Typical High
$234.42
United
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$812.83
Typical High
$812.83
United
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$158.49
Typical High
$323.59
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$144.54
Typical High
$309.03

Where South Dakota 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 Dakota $135 · 28th 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.