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Nevada rates for HCPCS 42800

Biopsy; oropharynx

Facilitymedian $2,089 · 10th–90th $166–$5,2480%10%20%10th90th$2,089Professionalmedian $158 · 10th–90th $110–$3020%20%10th90th$158$0.1$1.0$10.0$100.0$1.0K$10.0K

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
$165.96 / $2,089.30 / $5,011.87
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $158.49 / $331.13
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,801.89 / $4,073.80 / $5,888.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $177.83 / $281.84
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$104.71 / $104.71 / $147.91
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $169.82 / $275.42
Hometown Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.63 / $141.25 / $213.80
Hometown Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$112.20 / $112.20 / $112.20
Hometown Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.54 / $158.49 / $239.88
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$104.71 / $158.49 / $281.84
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$112.20 / $1,445.44 / $3,162.28
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$97.72 / $154.88 / $257.04