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Washington, DC rates for HCPCS 42804

Biopsy; nasopharynx, visible lesion, simple

Facilitymedian $1,862 · 10th–90th $269$4,0740%10%10th90th$1,862Professionalmedian $204 · 10th–90th $115$3550%10%10th90th$204$100.0$500.0$2.0K$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$269.15 / $1,698.24 / $4,073.80
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $204.17 / $346.74
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$117.49 / $131.83 / $2,630.27
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $204.17 / $549.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $245.47 / $416.87
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$812.83 / $6,606.93 / $25,118.86
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$102.33 / $186.21 / $389.05