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Biopsy Of The Roof Of The Mouth

Vermont 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.

Professionalmedian $148 · 10th–90th $117$1820%20%10th90th$148$100.0$200.0$500.0$1.0K$2.0K

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
Professional
Modifier
Global
Typical Low
$117.49
Median
$128.82
Typical High
$177.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$190.55
Typical High
$245.47
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$213.80
Typical High
$380.19
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$181.97
Typical High
$309.03