go back

Biopsy of Upper Throat Behind the Nose

Hawaii 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 $2,884 · 10th–90th $813$2,8840%50%10th$2,884Professionalmedian $209 · 10th–90th $115$2,5700%5%10%10th90th$209$50.0$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$2,884.03
Typical High
$2,884.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$173.78
Typical High
$245.47
Cigna
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$812.83
Typical High
$812.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$229.09
Typical High
$602.56
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$234.42
Typical High
$331.13
United
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$1,737.80
Typical High
$1,737.80
United
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$190.55
Typical High
$295.12
University Health Alliance
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$1,513.56
Typical High
$3,981.07