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Oral Cell Sample Lab Analysis

North Carolina 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?

$50.12

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $50.12 for this service. The price depends on where it is billed: about $50.12 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$50.12$47.86 to $63.10
FacilityA hospital or hospital-owned outpatient department$50.12$50.12 to $63.10

How much rates vary

Facilitymedian $50 · 10th to 90th $41 to $81Professionalmedian $50 · 10th to 90th $39 to $72
$50$100$200$500$1Kfacility $50professional $50

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
$29.51
Median
$48.98
Typical High
$50.12
BCBS
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$63.10
Typical High
$128.82
Medcost
Setting
Facility
Modifier
Global
Typical Low
$40.74
Median
$52.48
Typical High
$79.43
United
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$41.69
Typical High
$48.98
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$891.25
Typical High
$891.25
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$338.84
Typical High
$478.63

Where North Carolina 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.

North Carolina· 20th of 51

$50.12

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.