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Biopsy of Upper Throat Behind the Nose

Minnesota 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 $708 · 10th–90th $158$7,7620%5%10th90th$708Professionalmedian $355 · 10th–90th $148$7760%5%10th90th$355$50.0$200.0$1.0K$5.0K$20.0K

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
$117.49
Median
$213.80
Typical High
$213.80
Aetna
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$194.98
Typical High
$346.74
BCBS
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$5,888.44
Typical High
$14,791.08
BCBS
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$426.58
Typical High
$776.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$794.33
Typical High
$2,137.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$457.09
Typical High
$870.96
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$776.25
Typical High
$1,698.24
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$467.74
Typical High
$851.14
Medica
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$251.19
Typical High
$616.60
Medica
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$407.38
Typical High
$1,621.81
United
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$3,467.37
Typical High
$8,511.38
United
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$288.40
Typical High
$630.96