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Minnesota rates for HCPCS 42804

Biopsy; nasopharynx, visible lesion, simple

Facilitymedian $708 · 10th–90th $135–$9,5500%5%10th90th$708Professionalmedian $316 · 10th–90th $129–$7410%5%10th90th$316$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$117.49 / $213.80 / $213.80
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $199.53 / $331.13
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$676.08 / $6,165.95 / $14,791.08
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $426.58 / $776.25
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$512.86 / $831.76 / $1,949.84
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $457.09 / $891.25
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$616.60 / $741.31 / $1,513.56
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $446.68 / $812.83
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$117.49 / $251.19 / $616.60
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $407.38 / $1,621.81
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,584.89 / $3,467.37 / $8,511.38
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $288.40 / $630.96