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Sampling Of The Upper Throat To Find A Hidden Cancer

Iowa 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?

$562

Typical facility fee. In Iowa, July 2026.

Insurers have agreed to pay about $562 for this service. Most negotiated rates run $309 to $4,074.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $2,951 · 10th to 90th $240 to $7,586Professionalmedian $398 · 10th to 90th $158 to $661
$100$200$500$1K$2K$5K$10Kfacility $2,951professional $398

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
Aetna
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$3,630.78
Typical High
$7,943.28
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$3,548.13
Typical High
$3,548.13
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$363.08
Typical High
$660.69
Medica
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$363.08
Typical High
$6,309.57
Midlands
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$467.74
Typical High
$602.56
Midlands
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$3,548.13
Typical High
$3,548.13
United
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$6,165.95
Typical High
$8,709.64

Where Iowa sits

The same service costs 30.2 times more in Wyoming than in North Dakota. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Iowa· 34th of 50

$562

WY $6,761ND $224

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.