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New York rates for HCPCS 42804

Biopsy; nasopharynx, visible lesion, simple

Facilitymedian $3,548 · 10th–90th $234$7,9430%5%10th90th$3,548Professionalmedian $214 · 10th–90th $120$4790%5%10%10th90th$214$100.0$500.0$2.0K$10.0K$50.0K

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$181.97 / $2,884.03 / $7,413.10
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $204.17 / $407.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,630.27 / $4,677.35 / $9,549.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $177.83 / $407.38
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$165.96 / $1,258.93 / $4,073.80
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $165.96 / $295.12
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$204.17 / $1,230.27 / $50,118.72
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $251.19 / $645.65
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$60.26 / $131.83 / $302.00
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $323.59 / $478.63
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$199.53 / $199.53 / $199.53
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $245.47 / $457.09
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$123.03 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $398.11 / $562.34
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,621.81 / $3,467.37 / $7,943.28
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $309.03 / $562.34
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $147.91 / $478.63
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $257.04 / $457.09