Lip biopsy

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Biopsy of Lip

Payers reporting CPT 40490

Payer pricing summary

Low

$79

Average

$692

Median

$401

High

$6.5k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +38 other terms	559	$239	$682	$1.4k	204%	4–40	$1 – $17.9k
2	Kaiser fee schedule · outpatient · +22 other terms	103	$305	$448	$651	145%	1–10	$25 – $4.3k
3	Ucare professional · fee schedule · outpatient · +15 other terms	17	$48	$49	$15	32%	1–10	$22 – $90
4	Premera fee schedule · outpatient · +11 other terms	10	$829	$756	$247	33%	1–10	$367 – $1.1k
5	Aetna fee schedule · outpatient · +35 other terms	480	$254	$1.3k	$3.4k	268%	—	$1 – $33.6k
6	Blue Cross Blue Shield fee schedule · outpatient · +33 other terms	381	$438	$1.0k	$1.8k	176%	—	$0 – $18.0k
7	Humana fee schedule · outpatient · +27 other terms	375	$230	$340	$802	236%	—	$1 – $12.8k
8	Cigna case rate · outpatient · +32 other terms	241	$944	$4.2k	$7.0k	168%	—	$0 – $40.7k
9	Molina fee schedule · outpatient · +28 other terms	229	$173	$154	$142	92%	—	$1 – $960
10	WellCare fee schedule · outpatient · +19 other terms	178	$233	$312	$534	171%	—	$62 – $4.3k
11	Oscar case rate · outpatient · +21 other terms	130	$2.5k	$2.6k	$792	30%	—	$363 – $7.5k
12	Anthem fee schedule · outpatient · +29 other terms	126	$238	$301	$603	200%	—	$38 – $6.3k
13	Ambetter fee schedule · outpatient · +17 other terms	82	$411	$375	$354	95%	—	$20 – $2.3k
14	Aetna Better Health fee schedule · outpatient · +19 other terms	73	$81	$98	$50	51%	—	$52 – $367
15	Devoted fee schedule · outpatient · +14 other terms	70	$235	$221	$57	26%	—	$67 – $319
16	Optum fee schedule · outpatient · +23 other terms	64	$213	$227	$156	69%	—	$62 – $874
17	Caresource fee schedule · outpatient · +15 other terms	57	$246	$407	$649	159%	—	$1 – $4.3k
18	MultiPlan fee schedule · outpatient · +18 other terms	55	$392	$385	$99	26%	—	$41 – $743
19	Highmark facility · fee schedule · outpatient · +17 other terms	44	$319	$307	$247	80%	—	$38 – $1.1k
20	Healthcare Highways case rate · outpatient · +1 other terms	42	$5.8k	$6.6k	$5.1k	78%	—	$2.1k – $14.6k
21	Superior Healthplan case rate · outpatient · +6 other terms	38	$948	$934	$82	9%	—	$349 – $948
22	Tricare other · outpatient · +16 other terms	34	$219	$214	$56	26%	—	$84 – $296
23	Bcbs Tx fee schedule · outpatient · +2 other terms	33	$140	$133	$61	46%	—	$62 – $333
24	Amerihealth Caritas case rate · outpatient · +14 other terms	32	$365	$1.5k	$1.4k	90%	—	$130 – $3.3k
25	Cigna Healthspring fee schedule · outpatient · +10 other terms	32	$67	$128	$80	63%	—	$62 – $244

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