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Oral Cell Sample Lab Analysis

Pennsylvania 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?

$42.66

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $42.66 for this service. The price depends on where it is billed: about $42.66 from a physician practice, and about $48.98 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 4 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$42.66$38.02 to $46.77
FacilityA hospital or hospital-owned outpatient department$48.98$48.98 to $48.98

How much rates vary

Facilitymedian $49 · 10th to 90th $49 to $49Professionalmedian $43 · 10th to 90th $30 to $50
$100$1K$10Kfacility $49professional $43

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
$48.98
Median
$48.98
Typical High
$48.98
Aetna
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$42.66
Typical High
$53.70
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$8,511.38
Typical High
$77,624.71
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$43.65
Typical High
$43.65
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$38.90
Typical High
$38.90
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$48.98
Median
$48.98
Typical High
$48.98
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$41.69
Typical High
$53.70

Where Pennsylvania 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.

Pennsylvania· 42nd of 51

$42.66

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.