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Oral Cell Sample Lab Analysis

Illinois 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?

$47.86

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $47.86 for this service. Most negotiated rates run $41.69 to $53.70.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $42 · 10th to 90th $42 to $42Professionalmedian $48 · 10th to 90th $30 to $74
$50$100facility $42professional $48

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
$41.69
Median
$41.69
Typical High
$41.69
Aetna
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$46.77
Typical High
$63.10
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$81.28
Typical High
$151.36
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20

Where Illinois 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.

Illinois· 25th of 51

$47.86

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.