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Biopsy Of The Roof Of The Mouth

Louisiana 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 $1,349 · 10th–90th $200$3,4670%10%10th90th$1,349Professionalmedian $148 · 10th–90th $102$2340%10%10th90th$148$50.0$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
$199.53
Median
$1,288.25
Typical High
$3,548.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$147.91
Typical High
$234.42
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$48.98
Typical High
$144.54
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$2,187.76
Typical High
$3,090.30
BCBS
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$177.83
Typical High
$229.09
Christus
Setting
Facility
Modifier
Global
Typical Low
$43.65
Median
$43.65
Typical High
$89.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$489.78
Typical High
$575.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$177.83
Typical High
$331.13
United
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$1,698.24
Typical High
$4,168.69
United
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$144.54
Typical High
$239.88