go back

Oral Cell Sample Lab Analysis

Kentucky 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?

$23.99

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $23.99 for this service. The price depends on where it is billed: about $22.91 from a physician practice, and about $50.12 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$22.91$22.91 to $50.12
FacilityA hospital or hospital-owned outpatient department$50.12$50.12 to $50.12

How much rates vary

Facilitymedian $50 · 10th to 90th $50 to $50Professionalmedian $23 · 10th to 90th $20 to $50
$100$1K$10Kfacility $50professional $23

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
$50.12
Median
$50.12
Typical High
$50.12
Aetna
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$50.12
Typical High
$52.48
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$22.91
Typical High
$28.18
CareSource
Setting
Facility
Modifier
Global
Typical Low
$53,703.18
Median
$53,703.18
Typical High
$53,703.18
Cigna
Setting
Facility
Modifier
Global
Typical Low
$36.31
Median
$36.31
Typical High
$36.31
Molina
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$44.67

Where Kentucky 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.

Kentucky· 51st of 51

$23.99

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.