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Needle Biopsy of a Salivary Gland

Iowa 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?

$1,391

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

Insurers have agreed to pay about $1,391 for this procedure. That total is two separate charges: $102 to the doctor who performs it, and $1,288 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$102$79.43 to $166
Facility feeThe hospital or surgery center$1,288$132 to $3,236

How much rates vary

Facilitymedian $1,288 · 10th to 90th $89 to $5,888Professionalmedian $102 · 10th to 90th $51 to $331
$50$200$1K$5Kfacility $1,288professional $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
$89.13
Median
$2,570.40
Typical High
$6,760.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$97.72
Typical High
$426.58
Cigna
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$162.18
Typical High
$162.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$154.88
Typical High
$281.84
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$151.36
Typical High
$316.23
Medica
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$144.54
Typical High
$1,737.80
Medica
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$204.17
Typical High
$724.44
Midlands
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$181.97
Typical High
$269.15
Midlands
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$162.18
Typical High
$162.18
Midlands
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$208.93
Typical High
$275.42
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$97.72
Typical High
$194.98
United
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$1,778.28
Typical High
$3,981.07
United
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$117.49
Typical High
$245.47
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$123.03
Typical High
$234.42

Where Iowa 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

Iowa· 28th of 50

$1,391

$102 physician + $1,288 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.