Biopsy of upper nose/throat

2025 Medicare reimbursement data for CPT 42806.

Non-facility rate

$232.89

2025 Medicare national average

Facility rate

$139.09

2025 Medicare national average

RVU breakdown

Work RVU

1.63

PE RVU (NF)

5.34

MP RVU

0.23

Total RVU

7.2

Conversion factor: 32.3465 · Source: CMS MPFS RVU25A · Confidence: High

Detailed guide coming soon.

Rate data above is live and current. Full billing guide for this code is being generated.