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Biopsy of Upper Throat Behind the Nose

Arkansas 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.

Facilitymedian $1,072 · 10th–90th $158$2,8840%10%10th90th$1,072Professionalmedian $191 · 10th–90th $115$3090%10%10th90th$191$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
$144.54
Median
$794.33
Typical High
$2,041.74
Aetna
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$194.98
Typical High
$309.03
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,884.03
Median
$2,884.03
Typical High
$3,981.07
BCBS
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$173.78
Typical High
$302.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$512.86
Typical High
$1,737.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$199.53
Typical High
$331.13
United
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$1,548.82
Typical High
$5,370.32
United
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$186.21
Typical High
$323.59