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Biopsy Of The Roof Of The Mouth

Utah 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 $3,162 · 10th–90th $195$4,5710%10%20%10th90th$3,162Professionalmedian $151 · 10th–90th $100$4270%10%10th90th$151$50.0$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
$144.54
Median
$3,162.28
Typical High
$4,570.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$151.36
Typical High
$426.58
Cigna
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$177.83
Typical High
$316.23
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$346.74
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$2,951.21
Typical High
$4,466.84
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$208.93
Typical High
$288.40
Select Health
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$295.12
Select Health
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$199.53
Typical High
$295.12
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$190.55
Typical High
$275.42
United
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$3,162.28
Typical High
$5,128.61
United
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$147.91
Typical High
$239.88