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Oral Cell Sample Lab Analysis

New York 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?

$45.71

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $45.71 for this service. The price depends on where it is billed: about $45.71 from a physician practice, and about $38.90 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 6 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$45.71$38.90 to $50.12
FacilityA hospital or hospital-owned outpatient department$38.90$29.51 to $41.69

How much rates vary

Facilitymedian $39 · 10th to 90th $26 to $54Professionalmedian $46 · 10th to 90th $32 to $69
$100$1K$10Kfacility $39professional $46

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
$25.70
Median
$38.90
Typical High
$41.69
Aetna
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$39.81
Typical High
$61.66
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$45.71
Typical High
$72.44
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$53.70
Typical High
$53.70
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$50,118.72
Median
$53,703.18
Typical High
$75,857.76
United
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$26.92
Typical High
$87.10
Univera
Setting
Facility
Modifier
Global
Typical Low
$45.71
Median
$53.70
Typical High
$53.70
Univera
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$53.70
Typical High
$53.70

Where New York 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.

New York· 38th of 51

$45.71

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.