go back

Biopsy Of The Roof Of The Mouth

Minnesota 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 $447 · 10th–90th $135$4,1690%5%10%10th90th$447Professionalmedian $275 · 10th–90th $129$5250%5%10th90th$275$50.0$200.0$1.0K$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
$104.71
Median
$144.54
Typical High
$144.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$144.54
Typical High
$251.19
BCBS
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$2,691.53
Typical High
$6,760.83
BCBS
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$323.59
Typical High
$524.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$524.81
Typical High
$1,445.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$354.81
Typical High
$616.60
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$524.81
Typical High
$1,148.15
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$363.08
Typical High
$588.84
Medica
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$190.55
Typical High
$426.58
Medica
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$302.00
Typical High
$1,096.48
United
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$2,691.53
Typical High
$5,495.41
United
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$229.09
Typical High
$457.09