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Biopsy of Upper Throat Behind the Nose

Arizona 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 $1,738 · 10th–90th $148$5,6230%5%10th90th$1,738Professionalmedian $191 · 10th–90th $112$3630%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
$1,445.44
Median
$3,715.35
Typical High
$6,606.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$186.21
Typical High
$354.81
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$229.09
Typical High
$229.09
BCBS
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$1,698.24
Typical High
$3,311.31
BCBS
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$245.47
Typical High
$467.74
Cigna
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$1,584.89
Typical High
$2,570.40
Cigna
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$194.98
Typical High
$371.54
Medica
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$208.93
Typical High
$630.96
Medica
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$275.42
Typical High
$1,621.81
United
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$2,398.83
Typical High
$4,677.35
United
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$177.83
Typical High
$309.03