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Biopsy of Upper Throat Behind the Nose

Alabama 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 $1,479 · 10th–90th $617$2,5120%10%10th90th$1,479Professionalmedian $200 · 10th–90th $112$3980%10%10th90th$200$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
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$954.99
Typical High
$2,398.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$199.53
Typical High
$416.87
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$1,513.56
Typical High
$2,041.74
BCBS
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$169.82
Typical High
$269.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$204.17
Typical High
$407.38
United
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$1,778.28
Typical High
$3,388.44
United
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$169.82
Typical High
$295.12