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Tongue Biopsy, Front Portion

Pennsylvania rates for HCPCS 41100

This procedure removes a small sample of tissue from the front two-thirds of the tongue to be examined under a microscope. It is used to help diagnose a sore, lump, or unusual area on the tongue.

Rates data updated July 2026.

How much does Tongue Biopsy, Front Portion cost?

$186

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $186 for this service. The price depends on where it is billed: about $174 from a physician practice, and about $2,344 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 11 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$174$117 to $214
FacilityA hospital or hospital-owned outpatient department$2,344$1,096 to $4,074

How much rates vary

Facilitymedian $2,344 · 10th to 90th $339 to $7,762Professionalmedian $174 · 10th to 90th $105 to $363
$100$200$500$1K$2K$5Kfacility $2,344professional $174

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
$478.63
Median
$2,570.40
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$173.78
Typical High
$389.05
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$144.54
Typical High
$169.82
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$2,691.53
Typical High
$57,543.99
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$257.04
Typical High
$302.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$323.59
Typical High
$645.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$177.83
Typical High
$323.59
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$218.78
Typical High
$218.78
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$275.42
Typical High
$407.38
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$199.53
Typical High
$234.42
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$186.21
Typical High
$309.03
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$1,318.26
Typical High
$3,162.28
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$2,290.87
Typical High
$7,762.47
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$181.97
Typical High
$562.34
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$186.21
Typical High
$407.38
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$1,445.44
Typical High
$2,951.21
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$154.88
Typical High
$186.21
United
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$707.95
Typical High
$3,019.95
United
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$158.49
Typical High
$269.15

Where Pennsylvania sits

The same service costs 2.0 times more in Minnesota than in Hawaii. 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.

Pennsylvania· 25th of 51

$186

MN $316HI $155

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.