go back

Biopsy of Upper Throat Behind the Nose

Utah 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 $3,162 · 10th–90th $263$6,0260%10%10th90th$3,162Professionalmedian $200 · 10th–90th $112$3800%10%10th90th$200$50.0$200.0$1.0K$5.0K

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
$263.03
Median
$3,162.28
Typical High
$4,570.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$199.53
Typical High
$363.08
Cigna
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$213.80
Typical High
$407.38
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$234.42
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$4,677.35
Median
$6,309.57
Typical High
$9,772.37
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$251.19
Typical High
$371.54
Select Health
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$239.88
Typical High
$426.58
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$269.15
Typical High
$398.11
United
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$4,466.84
Typical High
$6,760.83
United
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$186.21
Typical High
$316.23