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Biopsy of Upper Throat Behind the Nose

Alaska rates for HCPCS 42804

This procedure takes a small tissue sample from the upper part of the throat located behind the nose, using an indirect technique such as a small scope or mirror rather than a larger open surgical approach. It is used to investigate symptoms such as nasal blockage, bleeding, or a visible growth in this area. The tissue sample is examined in a laboratory to check for infection, inflammation, or abnormal cells.

Rates data updated July 2026.

How much does Biopsy of Upper Throat Behind the Nose cost?

$584

Typical total for the visit. In Alaska, July 2026.

Insurers have agreed to pay about $584 for this procedure. That total is two separate charges: $339 to the doctor who performs it, and $245 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$339$204 to $646
Facility feeThe hospital or surgery center$245$166 to $363

How much rates vary

Facilitymedian $245 · 10th to 90th $126 to $631Professionalmedian $339 · 10th to 90th $120 to $955
$100$200$500$1K$2K$5K$10Kfacility $245professional $339

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$2,511.89
Typical High
$14,125.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$208.93
Typical High
$630.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$204.17
Typical High
$457.09
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$229.09
Typical High
$501.19
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$549.54
Typical High
$1,202.26
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$707.95
Typical High
$1,096.48
Providence
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$229.09
Typical High
$501.19
Providence
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$275.42
Typical High
$549.54
United
Setting
Facility
Modifier
Global
Typical Low
$6,760.83
Median
$6,760.83
Typical High
$6,760.83
United
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$208.93
Typical High
$707.95

Where Alaska sits

The same service costs 17.1 times more in Indiana than in West Virginia. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Physician feeFacility fee

Alaska· 40th of 50

$584

$339 physician + $245 facility

IN $6,340WV $370

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.