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Biopsy of Upper Throat Behind the Nose

Oklahoma 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 $2,951 · 10th–90th $219$6,9180%5%10th90th$2,951Professionalmedian $191 · 10th–90th $115$2950%10%10th90th$191$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
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$2,398.83
Typical High
$6,606.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$194.98
Typical High
$281.84
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,162.28
Median
$5,011.87
Typical High
$8,128.31
BCBS
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$151.36
Typical High
$263.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$190.55
Typical High
$288.40
Medica
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$223.87
Typical High
$2,754.23
Medica
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$245.47
Typical High
$1,621.81
United
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$2,089.30
Typical High
$4,365.16
United
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$165.96
Typical High
$257.04