go back

Biopsy of Upper Throat Behind the Nose

North Dakota 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 $200 · 10th–90th $115$1,9950%20%10th90th$200Professionalmedian $240 · 10th–90th $115$5010%10%10th90th$240$100.0$200.0$500.0$1.0K$2.0K$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
$114.82
Median
$199.53
Typical High
$1,995.26
Aetna
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$186.21
Typical High
$346.74
BCBS
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$346.74
Typical High
$549.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$309.03
Typical High
$588.84
Medica
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$213.80
Typical High
$416.87
Medica
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$338.84
Typical High
$1,621.81
United
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$2,398.83
Typical High
$6,606.93
United
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$218.78
Typical High
$416.87