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Florida rates for HCPCS 42800

Biopsy; oropharynx

Facilitymedian $3,388 · 10th–90th $646–$8,9130%5%10%10th90th$3,388Professionalmedian $158 · 10th–90th $107–$3390%10%10th90th$158$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
$645.65 / $3,235.94 / $8,709.64
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $162.18 / $346.74
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$97.72 / $158.49 / $251.19
AvMed
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$120.23 / $3,630.78 / $12,302.69
AvMed
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $134.90 / $173.78
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $120.23 / $467.74
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $173.78 / $316.23
Florida Blue
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,754.23 / $5,128.61 / $10,471.29
Florida Blue
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $138.04 / $190.55
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $91.20 / $199.53
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$537.03 / $2,187.76 / $5,011.87
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $138.04 / $251.19
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $120.23 / $165.96