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Biopsy Of The Roof Of The Mouth

Wyoming 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 $1,288$5,6230%20%10th90th$3,162Professionalmedian $151 · 10th–90th $105$5370%10%10th90th$151$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. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$138.04
Typical High
$194.98
BCBS
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$446.68
Typical High
$588.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$213.80
Typical High
$389.05
United
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$3,162.28
Typical High
$5,623.41
United
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$213.80
Typical High
$436.52