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Oral Cell Sample Lab Analysis

Wisconsin 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?

$74.13

Typical negotiated rate. In Wisconsin, July 2026.

Insurers have agreed to pay about $74.13 for this service. The price depends on where it is billed: about $74.13 from a physician practice, and about $52.48 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 7 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$74.13$46.77 to $129
FacilityA hospital or hospital-owned outpatient department$52.48$44.67 to $138

How much rates vary

Facilitymedian $52 · 10th to 90th $45 to $162Professionalmedian $74 · 10th to 90th $41 to $186
$50$100$200$500$1Kfacility $52professional $74

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
$44.67
Median
$44.67
Typical High
$44.67
Aetna
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$46.77
Typical High
$58.88
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$91.20
Typical High
$181.97
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$63.10
Typical High
$162.18
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$30.90
Typical High
$30.90
Medica
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$63.10
Typical High
$162.18
Medica
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$338.84
Typical High
$338.84
Molina
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$54.95
Typical High
$70.79
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$63.10
Typical High
$162.18
Prevea360
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$30.90
Typical High
$30.90
Quartz
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$131.83
Typical High
$186.21
Quartz
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$131.83
Typical High
$891.25
Quartz
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$338.84
Typical High
$338.84

Where Wisconsin 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.

Wisconsin· 6th of 51

$74.13

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.