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Lip Biopsy

West 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?

$141

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $141 for this service. The price depends on where it is billed: about $148 from a physician practice, and about $117 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 5 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$148$102 to $195
FacilityA hospital or hospital-owned outpatient department$117$67.61 to $117

How much rates vary

Facilitymedian $117 · 10th to 90th $68 to $661Professionalmedian $148 · 10th to 90th $68 to $251
$50$100$200$500$1Kfacility $117professional $148

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
$67.61
Median
$117.49
Typical High
$117.49
Aetna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$147.91
Typical High
$251.19
CareSource
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$74.13
Typical High
$89.13
CareSource
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$77.62
Typical High
$77.62
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$100.00
Typical High
$100.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$120.23
Typical High
$660.69
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$446.68
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$165.96
Typical High
$181.97
United
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$457.09
Typical High
$977.24
United
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$104.71
Typical High
$177.83

Where West 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.

West Virginia· 20th of 51

$141

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.