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Oral Cell Sample Lab Analysis

Idaho rates for HCPCS D0480

Laboratory processing of a sample of cells gently collected from the surface of a sore, patch, or other area of concern in the mouth, examined under a microscope with a written report sent back to your dentist. It's a way to check unusual-looking tissue without a surgical biopsy.

Rates data updated July 2026.

How much does Oral Cell Sample Lab Analysis cost?

$52.48

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $52.48 for this service. The price depends on where it is billed: about $52.48 from a physician practice, and about $56.23 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 5 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$52.48$48.98 to $64.57
FacilityA hospital or hospital-owned outpatient department$56.23$44.67 to $83.18

How much rates vary

Facilitymedian $56 · 10th to 90th $40 to $107Professionalmedian $52 · 10th to 90th $49 to $95
$50$100facility $56professional $52

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
Professional
Modifier
Global
Typical Low
$46.77
Median
$52.48
Typical High
$64.57
BCBS
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$112.20
Typical High
$112.20
BCBS
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$95.50
Typical High
$95.50
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$52.48
Typical High
$91.20
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
Select Health
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$95.50
Typical High
$134.90

Where Idaho sits

The same service costs 8.1 times more in Minnesota than in Kentucky. 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.

Idaho· 16th of 51

$52.48

MN $195KY $23.99

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.