go back

Biopsy of Upper Throat Behind the Nose

Florida 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 $4,898 · 10th–90th $646$14,1250%10%10th90th$4,898Professionalmedian $170 · 10th–90th $105$2880%10%20%10th90th$170$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
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$3,235.94
Typical High
$11,481.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$173.78
Typical High
$275.42
AvMed
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$2,951.21
Typical High
$10,471.29
AvMed
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$173.78
Typical High
$223.87
Cigna
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$977.24
Typical High
$1,659.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$199.53
Typical High
$371.54
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$5,623.41
Median
$12,022.64
Typical High
$23,442.29
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$158.49
Typical High
$251.19
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$95.50
Typical High
$239.88
United
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$3,090.30
Typical High
$6,760.83
United
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$169.82
Typical High
$316.23
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$165.96
Typical High
$223.87