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Needle Biopsy of a Salivary Gland

Alabama rates for HCPCS 42400

In this procedure, a doctor uses a thin needle to take a small tissue sample from a salivary gland, usually to evaluate a lump or swelling in the gland. The sample is then examined under a microscope to help determine whether the growth is benign or something that needs further treatment.

Rates data updated July 2026.

How much does Needle Biopsy of a Salivary Gland cost?

$1,357

Typical total for the visit. In Alabama, July 2026.

Insurers have agreed to pay about $1,357 for this procedure. That total is two separate charges: $97.72 to the doctor who performs it, and $1,259 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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 5 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$97.72$57.54 to $120
Facility feeThe hospital or surgery center$1,259$617 to $1,585

How much rates vary

Facilitymedian $1,259 · 10th to 90th $107 to $2,042Professionalmedian $98 · 10th to 90th $50 to $186
$50$100$200$500$1K$2Kfacility $1,259professional $98

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
$85.11
Median
$831.76
Typical High
$1,584.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$97.72
Typical High
$186.21
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$77.62
Typical High
$77.62
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$1,513.56
Typical High
$2,041.74
BCBS
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$95.50
Typical High
$154.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$102.33
Typical High
$213.80
United
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$1,148.15
Typical High
$2,511.89
United
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$85.11
Typical High
$158.49

Where Alabama sits

The same service costs 24.7 times more in New Jersey than in West Virginia. 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.

Physician feeFacility fee

Alabama· 29th of 50

$1,357

$97.72 physician + $1,259 facility

NJ $4,562WV $185

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.