go back

Lip Biopsy

Vermont 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?

$141

Typical physician fee. In Vermont, July 2026.

Insurers have agreed to pay about $141 for this service. Most negotiated rates run $81.28 to $158.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $631 · 10th to 90th $631 to $631Professionalmedian $141 · 10th to 90th $79 to $162
$100.0$200.0$500.0$1.0Kfacility $631professional $141

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
$630.96
Median
$630.96
Typical High
$630.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$141.25
Typical High
$162.18
BCBS
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$190.55
Typical High
$398.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$177.83
Typical High
$281.84
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$204.17
Typical High
$204.17
United
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$151.36
Typical High
$288.40

Where Vermont 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.

Vermont $141 · 19th 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.