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Biopsy of Upper Throat Behind the Nose

Nevada 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 $129$5,2480%10%20%10th90th$1,698Professionalmedian $186 · 10th–90th $112$3160%20%10th90th$186$1.0$5.0$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
$128.82
Median
$1,698.24
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$186.21
Typical High
$302.00
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,801.89
Median
$4,073.80
Typical High
$5,888.44
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$199.53
Typical High
$371.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,479.11
Median
$1,479.11
Typical High
$2,041.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$194.98
Typical High
$346.74
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$1.00
Median
$169.82
Typical High
$302.00
Hometown Health
Setting
Facility
Modifier
Global
Typical Low
$1,548.82
Median
$1,548.82
Typical High
$1,548.82
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$169.82
Typical High
$323.59
Select Health
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$194.98
Typical High
$213.80
Select Health
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$107.15
Typical High
$223.87
United
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$1,548.82
Typical High
$3,630.78
United
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$186.21
Typical High
$331.13