go back

Biopsy of Upper Throat Behind the Nose

Nebraska 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.

Facilitymedian $2,188 · 10th–90th $186$8,5110%10%10th90th$2,188Professionalmedian $209 · 10th–90th $117$4570%20%10th90th$209$10.0$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
$436.52
Median
$3,801.89
Typical High
$11,481.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$204.17
Typical High
$436.52
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$4,677.35
Typical High
$9,120.11
BCBS
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$234.42
Typical High
$407.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$331.13
Typical High
$645.65
Medica
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$223.87
Typical High
$446.68
Medica
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$407.38
Typical High
$1,621.81
Midlands
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$407.38
Typical High
$562.34
Midlands
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$363.08
Typical High
$512.86
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$199.53
Typical High
$588.84
United
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$4,073.80
Typical High
$6,760.83
United
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$263.03
Typical High
$467.74