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Needle Biopsy of a Salivary Gland

Idaho 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?

$240

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

Insurers have agreed to pay about $240 for this procedure. That total is two separate charges: $102 to the doctor who performs it, and $138 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$74.13 to $155
Facility feeThe hospital or surgery center$138$91.20 to $302

How much rates vary

Facilitymedian $138 · 10th to 90th $66 to $1,820Professionalmedian $102 · 10th to 90th $55 to $191
$50$100$200$500$1K$2K$5Kfacility $138professional $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
$85.11
Median
$4,466.84
Typical High
$7,079.46
Aetna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$102.33
Typical High
$223.87
BCBS
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$1,096.48
Typical High
$2,137.96
BCBS
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$128.82
Typical High
$186.21
Cigna
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$104.71
Typical High
$194.98
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$114.82
Typical High
$229.09
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$125.89
Typical High
$190.55
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$87.10
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$1,584.89
Typical High
$2,290.87
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$123.03
Typical High
$199.53
Select Health
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$1,071.52
Typical High
$1,737.80
Select Health
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$85.11
Typical High
$100.00
United
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$4,168.69
Typical High
$4,466.84
United
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$104.71
Typical High
$190.55

Where Idaho 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

Idaho· 44th of 50

$240

$102 physician + $138 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.