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Needle Biopsy of a Salivary Gland

Delaware 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?

$191

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

Insurers have agreed to pay about $191 for this procedure. That total is two separate charges: $91.20 to the doctor who performs it, and $100 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 4 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$91.20$56.23 to $110
Facility feeThe hospital or surgery center$100$52.48 to $1,738

How much rates vary

Facilitymedian $100 · 10th to 90th $49 to $3,802Professionalmedian $91 · 10th to 90th $52 to $141
$50$100$200$500$1K$2K$5Kfacility $100professional $91

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
$48.98
Median
$100.00
Typical High
$3,801.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$91.20
Typical High
$125.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$74.13
Typical High
$1,412.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$95.50
Typical High
$177.83
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,344.23
Median
$2,344.23
Typical High
$2,344.23
United
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$251.19
Typical High
$5,011.87
United
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$89.13
Typical High
$144.54

Where Delaware 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

Delaware· 49th of 50

$191

$91.20 physician + $100 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.