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Biopsy of Upper Throat Behind the Nose

Delaware 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 $1,622 · 10th–90th $129$7,2440%10%20%10th90th$1,622Professionalmedian $186 · 10th–90th $115$3310%10%10th90th$186$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. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$3,235.94
Median
$3,235.94
Typical High
$7,244.36
Aetna
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$186.21
Typical High
$331.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$1,412.54
Typical High
$1,621.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$194.98
Typical High
$346.74
United
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$128.82
Typical High
$1,318.26
United
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$173.78
Typical High
$275.42