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Nationwide rates for HCPCS 42806

Biopsy; nasopharynx, survey for unknown primary lesion

Facilitymedian $2,951 · 10th–90th $214–$8,7100%10%10th90th$2,951Professionalmedian $282 · 10th–90th $141–$6030%20%10th90th$282$0.1$1.0$20.0$500.0$10.0K$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$295.12 / $3,388.44 / $9,120.11
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,621.81 / $4,265.80 / $10,000.00
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$234.42 / $912.01 / $2,290.87
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,148.15 / $3,890.45 / $9,332.54

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