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Florida rates for HCPCS 42804

Biopsy; nasopharynx, visible lesion, simple

Facilitymedian $3,467 · 10th–90th $234–$12,3030%5%10th90th$3,467Professionalmedian $182 · 10th–90th $105–$3390%10%20%10th90th$182$0.5$5.0$50.0$500.0$5.0K$50.0K

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
$165.96 / $3,090.30 / $9,332.54
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $190.55 / $363.08
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $63.10 / $107.15
AvMed
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$331.13 / $3,467.37 / $11,220.18
AvMed
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $173.78 / $223.87
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$204.17 / $575.44 / $1,548.82
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$117.49 / $199.53 / $371.54
Florida Blue
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,025.60 / $12,882.50 / $23,442.29
Florida Blue
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$93.33 / $158.49 / $245.47
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $95.50 / $263.03
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$707.95 / $3,235.94 / $6,760.83
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$93.33 / $162.18 / $302.00
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $165.96 / $223.87