go back

Biopsy of Upper Throat Behind the Nose

Idaho 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 $288 · 10th–90th $132$6,0260%5%10th90th$288Professionalmedian $224 · 10th–90th $123$4070%10%10th90th$224$50.0$200.0$1.0K$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
$1,412.54
Median
$4,466.84
Typical High
$7,079.46
Aetna
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$199.53
Typical High
$371.54
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$3,090.30
Typical High
$8,317.64
BCBS
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$288.40
Typical High
$426.58
Cigna
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$223.87
Typical High
$363.08
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$239.88
Typical High
$489.78
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$239.88
Typical High
$426.58
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$199.53
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$5,248.07
Median
$7,244.36
Typical High
$10,471.29
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$288.40
Typical High
$436.52
Select Health
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$3,548.13
Typical High
$5,754.40
Select Health
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$199.53
Typical High
$234.42
United
Setting
Facility
Modifier
Global
Typical Low
$3,467.37
Median
$6,165.95
Typical High
$7,762.47
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$213.80
Typical High
$363.08