go back

Connecticut rates for HCPCS 42800

Biopsy; oropharynx

Facilitymedian $4,571 · 10th–90th $309–$8,5110%10%20%10th90th$4,571Professionalmedian $166 · 10th–90th $112–$4270%10%10th90th$166$50.0$200.0$1.0K$5.0K$20.0K

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
$309.03 / $4,570.88 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $165.96 / $426.58
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,715.35 / $4,365.16 / $12,022.64
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $251.19 / $398.11
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$204.17 / $257.04 / $1,000.00
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $218.78 / $436.52
ConnectiCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $263.03 / $323.59
Health New England
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $316.23 / $316.23
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,000.00 / $4,466.84 / $9,332.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $199.53 / $407.38