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Oral Cell Sample Lab Analysis

Virginia 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?

$53.70

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $53.70 for this service. The price depends on where it is billed: about $53.70 from a physician practice, and about $47.86 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$53.70$45.71 to $54.95
FacilityA hospital or hospital-owned outpatient department$47.86$32.36 to $64.57

How much rates vary

Facilitymedian $48 · 10th to 90th $26 to $95Professionalmedian $54 · 10th to 90th $34 to $76
$20$100$500$2K$10Kfacility $48professional $54

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
$45.71
Median
$45.71
Typical High
$53.70
Aetna
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$45.71
Typical High
$53.70
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$93.33
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$20.42
Typical High
$25.70
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$72.44
Typical High
$83.18
Medcost
Setting
Facility
Modifier
Global
Typical Low
$36.31
Median
$56.23
Typical High
$91.20
Sentara
Setting
Facility
Modifier
Global
Typical Low
$25.70
Median
$45.71
Typical High
$104.71
Sentara
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$56.23
Typical High
$128.82

Where Virginia 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.

Virginia· 15th of 51

$53.70

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.