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Biopsy of Upper Throat Behind the Nose

Missouri 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 $1,660 · 10th–90th $200$5,0120%5%10th90th$1,660Professionalmedian $200 · 10th–90th $115$4070%10%10th90th$200$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
$199.53
Median
$2,398.83
Typical High
$6,309.57
Aetna
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$199.53
Typical High
$630.96
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$1,819.70
Typical High
$3,981.07
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$181.97
Typical High
$316.23
BCBS
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$213.80
Typical High
$309.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$1,659.59
Typical High
$1,659.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$204.17
Typical High
$371.54
Medica
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$229.09
Typical High
$1,380.38
Medica
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$346.74
Typical High
$1,621.81
United
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$2,290.87
Typical High
$3,019.95
United
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$194.98
Typical High
$346.74