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Minnesota rates for HCPCS 42800

Biopsy; oropharynx

Facilitymedian $550 · 10th–90th $126–$4,3650%5%10th90th$550Professionalmedian $269 · 10th–90th $123–$5500%5%10%10th90th$269$50.0$200.0$1.0K$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
$112.20 / $154.88 / $154.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $158.49 / $331.13
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$660.69 / $2,818.38 / $6,760.83
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $354.81 / $575.44
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$407.38 / $602.56 / $1,412.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $380.19 / $676.08
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$446.68 / $549.54 / $1,096.48
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $389.05 / $588.84
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$112.20 / $204.17 / $457.09
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $323.59 / $1,174.90
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$977.24 / $2,238.72 / $4,265.80
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $245.47 / $489.78