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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 October 2026.

How much does Biopsy Of The Roof Of The Mouth cost?

$174

Typical negotiated rate. In Mississippi, October 2026.

Insurers have agreed to pay about $174 for this service. The price depends on where it is billed: about $166 from a physician practice, and about $617 from a hospital or other facility.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$166$129 to $269
FacilityA hospital or hospital-owned outpatient department$617$398 to $1,318

How much rates vary

Facilitymedian $617 · 10th to 90th $102 to $2,570Professionalmedian $166 · 10th to 90th $102 to $309
$50$100$200$500$1K$2K$5Kfacility $617professional $166

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$128.82
Median
$758.58
Typical High
$1,819.70
Aetna
Setting
Professional
Modifier
None
Typical Low
$102.33
Median
$275.42
Typical High
$398.11
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$50.12
Median
$138.04
Typical High
$199.53
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$20.42
Median
$54.95
Typical High
$79.43
Aetna
Setting
Professional
Modifier
54 · Surgery only
Typical Low
$75.86
Median
$204.17
Typical High
$302.00
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$15.14
Median
$40.74
Typical High
$60.26
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$10.23
Median
$27.54
Typical High
$39.81
Aetna
Setting
Professional
Modifier
78 · Unplanned return to OR
Typical Low
$70.79
Median
$190.55
Typical High
$281.84
Ambetter
Setting
Professional
Modifier
None
Typical Low
$141.25
Median
$141.25
Typical High
$147.91
BCBS Mississippi
Setting
Facility
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
BCBS Mississippi
Setting
Professional
Modifier
None
Typical Low
$269.15
Median
$269.15
Typical High
$269.15
Cigna
Setting
Facility
Modifier
None
Typical Low
$93.33
Median
$114.82
Typical High
$524.81
Cigna
Setting
Professional
Modifier
None
Typical Low
$114.82
Median
$154.88
Typical High
$234.42
Molina
Setting
Professional
Modifier
None
Typical Low
$33.11
Median
$33.11
Typical High
$33.11
United
Setting
Facility
Modifier
None
Typical Low
$467.74
Median
$758.58
Typical High
$2,951.21
United
Setting
Professional
Modifier
None
Typical Low
$100.00
Median
$141.25
Typical High
$288.40

Where Mississippi sits

The same service costs 4.0 times more in Alaska than in New Jersey. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Mississippi· 21st of 51

$174

AK $437NJ $110

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.