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Biopsy of Upper Throat Behind the Nose

New Hampshire 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 $1,698 · 10th–90th $100$8,9130%10%10th90th$1,698Professionalmedian $229 · 10th–90th $129$4470%5%10%10th90th$229$20.0$100.0$500.0$2.0K$10.0K

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
$398.11
Median
$724.44
Typical High
$9,772.37
Aetna
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$186.21
Typical High
$269.15
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$1,737.80
Typical High
$3,019.95
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$213.80
Typical High
$371.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,348.96
Median
$1,348.96
Typical High
$1,348.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$263.03
Typical High
$501.19
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$3,890.45
Typical High
$8,709.64
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$269.15
Typical High
$512.86
United
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$3,890.45
Typical High
$8,709.64
United
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$269.15
Typical High
$524.81
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$19.50
Median
$22.39
Typical High
$275.42