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Needle Biopsy of a Salivary Gland

Georgia 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?

$2,617

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

Insurers have agreed to pay about $2,617 for this procedure. That total is two separate charges: $105 to the doctor who performs it, and $2,512 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$105$64.57 to $138
Facility feeThe hospital or surgery center$2,512$955 to $3,802

How much rates vary

Facilitymedian $2,512 · 10th to 90th $162 to $5,623Professionalmedian $105 · 10th to 90th $52 to $204
$10.0$100.0$1.0K$10.0Kfacility $2,512professional $105

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
$102.33
Median
$3,019.95
Typical High
$7,079.46
Aetna
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$100.00
Typical High
$204.17
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$77.62
Typical High
$95.50
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$2,089.30
Typical High
$3,981.07
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$125.89
Typical High
$218.78
CareSource
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$47.86
Typical High
$47.86
Cigna
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$100.00
Typical High
$537.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$114.82
Typical High
$223.87
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$104.71
Typical High
$181.97
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$134.90
Typical High
$134.90
United
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$1,318.26
Typical High
$2,951.21
United
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$102.33
Typical High
$190.55

Where Georgia 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 feeGeorgia $2,617 · 9th 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.