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Arizona rates for HCPCS 42800

Biopsy; oropharynx

Facilitymedian $1,738 · 10th–90th $141–$5,6230%5%10th90th$1,738Professionalmedian $170 · 10th–90th $112–$5010%10%10th90th$170$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,445.44 / $3,090.30 / $6,309.57
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $169.82 / $537.03
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$436.52 / $1,698.24 / $3,235.94
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $186.21 / $338.84
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$102.33 / $112.20 / $186.21
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $162.18 / $316.23
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$112.20 / $158.49 / $457.09
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $218.78 / $1,174.90
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$707.95 / $1,318.26 / $3,162.28
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $147.91 / $257.04