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Biopsy of Upper Throat Behind the Nose

Oregon 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 $309 · 10th–90th $145$5250%10%20%10th90th$309Professionalmedian $269 · 10th–90th $129$5500%10%20%10th90th$269$2.0$20.0$200.0$2.0K$20.0K$200.0K

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
$309.03
Median
$575.44
Typical High
$7,943.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$213.80
Typical High
$630.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,949.84
Median
$1,949.84
Typical High
$2,398.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$295.12
Typical High
$537.03
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$331.13
Typical High
$524.81
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$234.42
Typical High
$426.58
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$316.23
Typical High
$512.86
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$380.19
Typical High
$426.58
Providence
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$229.09
Typical High
$426.58
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$316.23
Typical High
$549.54
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$7,413.10
Median
$10,471.29
Typical High
$12,882.50
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$363.08
Typical High
$575.44
United
Setting
Facility
Modifier
Global
Typical Low
$1,548.82
Median
$5,495.41
Typical High
$10,000.00
United
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$295.12
Typical High
$501.19