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Biopsy of Upper Throat Behind the Nose

Louisiana 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 $1,514 · 10th–90th $295$4,3650%10%10th90th$1,514Professionalmedian $191 · 10th–90th $115$3390%5%10%10th90th$191$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
$263.03
Median
$1,288.25
Typical High
$3,467.37
Aetna
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$186.21
Typical High
$331.13
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,778.28
Median
$3,715.35
Typical High
$6,025.60
BCBS
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$229.09
Typical High
$338.84
Christus
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$2,691.53
Typical High
$2,691.53
Cigna
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$537.03
Typical High
$2,041.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$223.87
Typical High
$416.87
United
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$1,698.24
Typical High
$5,011.87
United
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$177.83
Typical High
$302.00