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Lip Biopsy

Wisconsin 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.

Facilitymedian $2,818 · 10th–90th $170$5,4950%10%10th90th$2,818Professionalmedian $151 · 10th–90th $72$5250%5%10%10th90th$151$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$251.19
Typical High
$446.68
Aetna
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$138.04
Typical High
$524.81
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$3,090.30
Typical High
$5,754.40
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$223.87
Typical High
$602.56
Cigna
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$380.19
Typical High
$616.60
Cigna
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$186.21
Typical High
$457.09
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$199.53
Typical High
$3,388.44
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$213.80
Typical High
$363.08
Medica
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$199.53
Typical High
$1,659.59
Medica
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$223.87
Typical High
$660.69
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$213.80
Network Health
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$891.25
Typical High
$2,344.23
Network Health
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$288.40
Typical High
$489.78
Quartz
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$204.17
Typical High
$398.11
Quartz
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$2,951.21
Typical High
$2,951.21
Quartz
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$186.21
Typical High
$891.25
Security Health
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$457.09
Security Health
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$416.87
Typical High
$630.96
United
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$1,584.89
Typical High
$2,187.76
United
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$154.88
Typical High
$575.44