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Biopsy Of The Roof Of The Mouth

Alaska rates for HCPCS 42100

Takes a small piece of tissue from the roof of the mouth or from the uvula, the flap hanging at the back of the throat, so it can be examined under a microscope. Only a sample is taken and the rest of the area is left in place. It is done to find out what is behind a patch, sore, swelling or growth that has not settled on its own.

Rates data updated July 2026.

Facilitymedian $186 · 10th–90th $120$4680%10%10th90th$186Professionalmedian $275 · 10th–90th $107$7410%10%10th90th$275$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0K

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
$346.74
Median
$2,511.89
Typical High
$14,125.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$144.54
Typical High
$575.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$169.82
Typical High
$407.38
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$181.97
Typical High
$371.54
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$436.52
Typical High
$870.96
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$588.84
Typical High
$831.76
Providence
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$181.97
Typical High
$371.54
Providence
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$223.87
Typical High
$371.54
United
Setting
Facility
Modifier
Global
Typical Low
$3,162.28
Median
$3,162.28
Typical High
$3,162.28
United
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$154.88
Typical High
$602.56