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Biopsy of Upper Throat Behind the Nose

Wyoming 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 $5,370 · 10th–90th $1,288$6,7610%20%40%10th90th$5,370Professionalmedian $224 · 10th–90th $112$6030%10%10th90th$224$100.0$200.0$500.0$1.0K$2.0K$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. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$199.53
Typical High
$263.03
BCBS
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$562.34
Typical High
$870.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$234.42
Typical High
$457.09
United
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$5,370.32
Typical High
$6,760.83
United
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$245.47
Typical High
$549.54