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Needle Biopsy of a Salivary Gland

Washington, DC 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?

$93.33

Typical physician fee. In Washington, DC, July 2026.

Insurers have agreed to pay about $93.33 for this service. Most negotiated rates run $60.26 to $117.

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.

How much rates vary

Facilitymedian $2,138 · 10th to 90th $62 to $6,310Professionalmedian $83 · 10th to 90th $52 to $123
$50$100$200$500$1K$2K$5Kfacility $2,138professional $83

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
$61.66
Median
$2,754.23
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$83.18
Typical High
$120.23
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$57.54
Typical High
$1,380.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$100.00
Typical High
$257.04
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$109.65
Typical High
$213.80
United
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$1,737.80
Typical High
$5,128.61
United
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$100.00
Typical High
$275.42

Where Washington, DC sits

The same service costs 1.7 times more in Minnesota than in Rhode Island. 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.

Washington, DC· 44th of 51

$93.33

MN $158RI $91.20

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.