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Alabama rates for HCPCS 42804

Biopsy; nasopharynx, visible lesion, simple

Facilitymedian $1,514 · 10th–90th $832–$2,3990%10%20%10th90th$1,514Professionalmedian $195 · 10th–90th $112–$3310%10%10th90th$195$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
$776.25 / $1,445.44 / $1,737.80
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $199.53 / $331.13
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,258.93 / $1,513.56 / $2,041.74
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $169.82 / $269.15
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$117.49 / $204.17 / $416.87
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$630.96 / $1,737.80 / $3,388.44
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$97.72 / $169.82 / $302.00