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Biopsy Of The Roof Of The Mouth

Arkansas 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 $1,175 · 10th–90th $170$2,0420%10%10th90th$1,175Professionalmedian $138 · 10th–90th $102$2040%10%10th90th$138$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
$134.90
Median
$794.33
Typical High
$1,862.09
Aetna
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$134.90
Typical High
$181.97
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$1,412.54
Typical High
$1,949.84
BCBS
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$154.88
Typical High
$204.17
Cigna
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$363.08
Typical High
$776.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$169.82
Typical High
$263.03
United
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$1,445.44
Typical High
$4,365.16
United
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$147.91
Typical High
$245.47