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Needle Biopsy of a Salivary Gland

Florida 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?

$3,040

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

Insurers have agreed to pay about $3,040 for this procedure. That total is two separate charges: $89.13 to the doctor who performs it, and $2,951 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 8 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$89.13$56.23 to $110
Facility feeThe hospital or surgery center$2,951$1,259 to $4,898

How much rates vary

Facilitymedian $2,951 · 10th to 90th $148 to $9,120Professionalmedian $89 · 10th to 90th $49 to $151
$50$200$1K$5Kfacility $2,951professional $89

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
$141.25
Median
$2,884.03
Typical High
$9,332.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$89.13
Typical High
$151.36
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$64.57
Typical High
$102.33
AvMed
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$2,818.38
Typical High
$11,220.18
AvMed
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$77.62
Typical High
$109.65
Cigna
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$83.18
Typical High
$1,318.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$100.00
Typical High
$204.17
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$3,235.94
Typical High
$6,606.93
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$93.33
Typical High
$123.03
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$40.74
Typical High
$100.00
United
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$1,995.26
Typical High
$5,011.87
United
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$85.11
Typical High
$162.18
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$72.44
Typical High
$97.72

Where Florida 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

Florida· 7th of 50

$3,040

$89.13 physician + $2,951 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.