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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.

Facilitymedian $245 · 10th–90th $126$6310%5%10%10th90th$245Professionalmedian $339 · 10th–90th $120$9550%5%10%10th90th$339$100.0$200.0$500.0$1.0K$2.0K$5.0K$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
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