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Oral Cell Sample Lab Analysis

Massachusetts 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?

$67.61

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $67.61 for this service. The price depends on where it is billed: about $67.61 from a physician practice, and about $61.66 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$67.61$57.54 to $112
FacilityA hospital or hospital-owned outpatient department$61.66$61.66 to $151

How much rates vary

Facilitymedian $62 · 10th to 90th $62 to $3,631Professionalmedian $68 · 10th to 90th $39 to $145
$100$1K$10Kfacility $62professional $68

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
$61.66
Median
$61.66
Typical High
$61.66
Aetna
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$47.86
Typical High
$61.66
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$151.36
Typical High
$891.25
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$74.13
Typical High
$338.84
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$43.65
Median
$2,951.21
Typical High
$8,511.38
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$45.71
Typical High
$93.33
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$93.33
Typical High
$147.91
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$151.36
Typical High
$891.25
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$74.13
Typical High
$338.84

Where Massachusetts 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.

Massachusetts· 8th of 51

$67.61

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.