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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.

How much does Biopsy of Upper Throat Behind the Nose cost?

$1,142

Typical total for the visit. In Mississippi, July 2026.

Insurers have agreed to pay about $1,142 for this procedure. That total is two separate charges: $209 to the doctor who performs it, and $933 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$209$132 to $269
Facility feeThe hospital or surgery center$933$513 to $1,820

How much rates vary

Facilitymedian $933 · 10th to 90th $191 to $2,692Professionalmedian $209 · 10th to 90th $112 to $417
$50$100$200$500$1K$2K$5Kfacility $933professional $209

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

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

Where Mississippi sits

The same service costs 17.1 times more in Indiana than in West Virginia. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Physician feeFacility fee

Mississippi· 35th of 50

$1,142

$209 physician + $933 facility

IN $6,340WV $370

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.