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Needle Biopsy of a Salivary Gland

Connecticut 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?

$4,176

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

Insurers have agreed to pay about $4,176 for this procedure. That total is two separate charges: $102 to the doctor who performs it, and $4,074 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$102$63.10 to $141
Facility feeThe hospital or surgery center$4,074$2,884 to $5,129

How much rates vary

Facilitymedian $4,074 · 10th to 90th $1,023 to $8,511Professionalmedian $102 · 10th to 90th $51 to $240
$50$200$1K$5Kfacility $4,074professional $102

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
$912.01
Median
$4,265.80
Typical High
$7,943.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$95.50
Typical High
$186.21
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$3,162.28
Typical High
$10,471.29
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$128.82
Typical High
$257.04
Cigna
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$162.18
Typical High
$758.58
Cigna
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$131.83
Typical High
$269.15
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$162.18
Typical High
$190.55
United
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$4,570.88
Typical High
$9,332.54
United
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$117.49
Typical High
$257.04

Where Connecticut 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

Connecticut· 2nd of 50

$4,176

$102 physician + $4,074 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.