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Biopsy Of The Roof Of The Mouth

Mississippi 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 $933 · 10th–90th $129$2,5120%5%10th90th$933Professionalmedian $148 · 10th–90th $100$3090%10%10th90th$148$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
$102.33
Median
$501.19
Typical High
$1,819.70
Aetna
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$147.91
Typical High
$309.03
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$141.25
Typical High
$338.84
BCBS
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
BCBS
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$269.15
Cigna
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$89.13
Typical High
$1,122.02
Cigna
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$162.18
Typical High
$275.42
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$1,479.11
Typical High
$3,090.30
United
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$144.54
Typical High
$309.03