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Lip Biopsy

Virginia 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?

$132

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $132 for this service. The price depends on where it is billed: about $129 from a physician practice, and about $182 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$129$83.18 to $166
FacilityA hospital or hospital-owned outpatient department$182$97.72 to $3,236

How much rates vary

Facilitymedian $182 · 10th to 90th $79 to $7,079Professionalmedian $129 · 10th to 90th $68 to $269
$50$200$1K$5Kfacility $182professional $129

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
$3,235.94
Typical High
$14,791.08
Aetna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$131.83
Typical High
$269.15
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$2,570.40
Typical High
$2,951.21
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$120.23
Typical High
$199.53
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$79.43
Typical High
$1,047.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$125.89
Typical High
$199.53
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$144.54
Typical High
$169.82
Medcost
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$165.96
Typical High
$173.78
Medcost
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$120.23
Typical High
$190.55
Medcost
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$275.42
Sentara
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$97.72
Typical High
$4,073.80
Sentara
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$165.96
Typical High
$4,073.80
United
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$1,096.48
Typical High
$2,454.71
United
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$112.20
Typical High
$199.53

Where Virginia sits

The same service costs 2.4 times more in Wyoming than in Kentucky. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Virginia· 32nd of 51

$132

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.