Sampling Of The Upper Throat To Find A Hidden Cancer

Nationwide rates for HCPCS 42806

Takes tissue samples from the area behind the nose, at the top of the throat, when no visible lesion can be seen. Several samples are taken systematically across the area to search for a cancer whose starting point has not been found. It is done when cancer has appeared elsewhere, such as in a neck lymph node, and the source is unknown.

Rates data updated July 2026.

How much does Sampling Of The Upper Throat To Find A Hidden Cancer cost?

$2,973

Typical total for the visit. Nationwide, July 2026.

Insurers have agreed to pay about $2,973 for this procedure. That total is two separate charges: $282 to the doctor who performs it, and $2,692 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

9% physician fee91% facility fee

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 56 insurance carriers under federal price transparency rules.

What's inside this number

Part of the bill	Who charges it	Typical	Range
Physician feeThe doctor who performs it	The doctor who performs it	$282	$191 to $398
Facility feeThe hospital or surgery center	The hospital or surgery center	$2,692	$355 to $5,248

How much rates vary

Facilitymedian $2,692 · 10th to 90th $191 to $8,710Professionalmedian $282 · 10th to 90th $141 to $603

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier	Facility/Professional	Modifier	Typical Low	Median	Typical High
Aetna Setting Facility Modifier Global Typical Low $245.47 Median $3,090.30 Typical High $9,120.11	Facility	Global	$245.47	$3,090.30	$9,120.11
BCBS Setting Facility Modifier Global Typical Low $1,621.81 Median $4,265.80 Typical High $10,000.00	Facility	Global	$1,621.81	$4,265.80	$10,000.00
Cigna Setting Facility Modifier Global Typical Low $223.87 Median $870.96 Typical High $2,398.83	Facility	Global	$223.87	$870.96	$2,398.83
United Setting Facility Modifier Global Typical Low $977.24 Median $3,890.45 Typical High $9,549.93	Facility	Global	$977.24	$3,890.45	$9,549.93

What it costs in each state

The same service costs 7.8 times more in Wisconsin than in Virginia. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Physician feeFacility fee

WI $4,500VA $577

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.