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Biopsy Of The Roof Of The Mouth

Alabama 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 $1,445 · 10th–90th $617$2,4550%10%10th90th$1,445Professionalmedian $148 · 10th–90th $102$2880%10%10th90th$148$100.0$200.0$500.0$1.0K$2.0K$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
$562.34
Median
$954.99
Typical High
$2,398.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$147.91
Typical High
$288.40
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$144.54
Typical High
$144.54
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$1,513.56
Typical High
$2,041.74
BCBS
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$177.83
Typical High
$229.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$169.82
Typical High
$316.23
United
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$1,778.28
Typical High
$3,162.28
United
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$138.04
Typical High
$229.09