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Lip Biopsy

Utah 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?

$129

Typical negotiated rate. In Utah, July 2026.

Insurers have agreed to pay about $129 for this service. The price depends on where it is billed: about $126 from a physician practice, and about $2,399 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 7 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$126$100 to $191
FacilityA hospital or hospital-owned outpatient department$2,399$170 to $4,169

How much rates vary

Facilitymedian $2,399 · 10th to 90th $100 to $4,571Professionalmedian $126 · 10th to 90th $71 to $269
$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0Kfacility $2,399professional $126

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
$100.00
Median
$2,398.83
Typical High
$4,570.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$125.89
Typical High
$363.08
Cigna
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$141.25
Typical High
$199.53
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$263.03
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$467.74
Typical High
$691.83
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$141.25
Typical High
$239.88
Select Health
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$234.42
Typical High
$234.42
Select Health
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$104.71
Typical High
$251.19
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$151.36
Typical High
$208.93
United
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$4,466.84
Typical High
$5,128.61
United
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$104.71
Typical High
$165.96

Where Utah 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.

Utah $129 · 34th 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.