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Biopsy Of The Roof Of The Mouth

North Dakota 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 $148 · 10th–90th $105$1,9950%20%10th90th$148Professionalmedian $186 · 10th–90th $105$3310%10%10th90th$186$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
$104.71
Median
$144.54
Typical High
$1,995.26
Aetna
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$144.54
Typical High
$234.42
BCBS
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$281.84
Typical High
$371.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$251.19
Typical High
$380.19
Medica
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$181.97
Typical High
$331.13
Medica
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$257.04
Typical High
$1,096.48
United
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$1,819.70
Typical High
$3,090.30
United
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$186.21
Typical High
$302.00