go back

Needle Biopsy of a Salivary Gland

Colorado 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?

$2,384

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

Insurers have agreed to pay about $2,384 for this procedure. That total is two separate charges: $93.33 to the doctor who performs it, and $2,291 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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$93.33$58.88 to $117
Facility feeThe hospital or surgery center$2,291$115 to $3,981

How much rates vary

Facilitymedian $2,291 · 10th to 90th $71 to $5,888Professionalmedian $93 · 10th to 90th $51 to $158
$50.0$200.0$1.0K$5.0Kfacility $2,291professional $93

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
$97.72
Median
$3,388.44
Typical High
$7,585.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$89.13
Typical High
$151.36
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$3,388.44
Typical High
$8,511.38
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$102.33
Typical High
$181.97
Cigna
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$891.25
Typical High
$1,659.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$107.15
Typical High
$186.21
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$102.33
Typical High
$177.83
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$97.72
Typical High
$323.59
Select Health
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$97.72
Typical High
$208.93
Select Health
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$57.54
Typical High
$89.13
United
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$1,995.26
Typical High
$3,715.35
United
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$104.71
Typical High
$190.55

Where Colorado sits

The same service costs 24.7 times more in New Jersey than in West Virginia. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Physician feeFacility feeColorado $2,384 · 12th of 50
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.