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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.

How much does Biopsy Of The Roof Of The Mouth cost?

$151

Typical physician fee. In Wyoming, July 2026.

Insurers have agreed to pay about $151 for this service. Most negotiated rates run $135 to $447.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $3,162 · 10th to 90th $1,288 to $5,623Professionalmedian $151 · 10th to 90th $105 to $537
$100$200$500$1K$2K$5Kfacility $3,162professional $151

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

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

Where Wyoming sits

The same service costs 2.1 times more in Minnesota than in Hawaii. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Wyoming· 26th of 51

$151

MN $282HI $135

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.