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Nationwide rates for HCPCS 42800

Biopsy; oropharynx

Facilitymedian $2,239 · 10th–90th $151$7,9430%10%10th90th$2,239Professionalmedian $170 · 10th–90th $112$3800%20%10th90th$170$0.1$1.0$20.0$500.0$10.0K$200.0K

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$190.55 / $2,754.23 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $162.18 / $363.08
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,513.56 / $4,265.80 / $10,000.00
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $169.82 / $302.00
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$112.20 / $346.74 / $1,174.90
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $190.55 / $398.11
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$478.63 / $1,778.28 / $4,570.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$104.71 / $165.96 / $316.23