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Rhode Island rates for HCPCS 42800

Biopsy; oropharynx

Facilitymedian $1,995 · 10th–90th $631–$4,0740%10%10th90th$1,995Professionalmedian $158 · 10th–90th $112–$3390%10%10th90th$158$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
$1,513.56 / $1,548.82 / $3,981.07
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $158.49 / $338.84
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $158.49 / $269.15
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$186.21 / $186.21 / $676.08
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $218.78 / $426.58
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$602.56 / $1,995.26 / $4,073.80
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $165.96 / $269.15