go back

Biopsy Of The Roof Of The Mouth

Nevada 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 $1,698 · 10th–90th $115$5,2480%10%20%10th90th$1,698Professionalmedian $145 · 10th–90th $102$2340%20%10th90th$145$0.5$2.0$10.0$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
$114.82
Median
$1,698.24
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$141.25
Typical High
$234.42
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,801.89
Median
$4,073.80
Typical High
$5,888.44
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$162.18
Typical High
$257.04
Cigna
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$97.72
Typical High
$97.72
Cigna
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$162.18
Typical High
$257.04
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$0.72
Median
$134.90
Typical High
$199.53
Hometown Health
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$104.71
Typical High
$104.71
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$223.87
Select Health
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$134.90
Typical High
$147.91
Select Health
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$93.33
Typical High
$186.21
United
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$776.25
Typical High
$3,162.28
United
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$144.54
Typical High
$239.88