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Biopsy of Upper Throat Behind the Nose

South Carolina 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 $302 · 10th–90th $141$8,9130%5%10th90th$302Professionalmedian $200 · 10th–90th $117$3310%10%10th90th$200$50.0$200.0$1.0K$5.0K$20.0K

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
$144.54
Median
$5,623.41
Typical High
$21,877.62
Aetna
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$199.53
Typical High
$331.13
BCBS
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$4,365.16
Typical High
$7,244.36
BCBS
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$162.18
Typical High
$251.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$436.52
Typical High
$1,819.70
Cigna
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$213.80
Typical High
$416.87
Medcost
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$295.12
Typical High
$295.12
Medcost
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$218.78
Typical High
$371.54
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$1,479.11
Median
$6,165.95
Typical High
$10,471.29
United
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$181.97
Typical High
$323.59