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Biopsy of Upper Throat Behind the Nose

Mississippi 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 $933 · 10th–90th $191$2,6920%5%10th90th$933Professionalmedian $209 · 10th–90th $112$4170%10%10th90th$209$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
$112.20
Median
$524.81
Typical High
$1,819.70
Aetna
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$208.93
Typical High
$416.87
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,380.38
Median
$1,380.38
Typical High
$1,380.38
BCBS
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$295.12
Cigna
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$1,258.93
Typical High
$2,187.76
Cigna
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$194.98
Typical High
$323.59
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$1,513.56
Typical High
$5,623.41
United
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$186.21
Typical High
$363.08