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Needle Biopsy of a Salivary Gland

Illinois 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?

$1,476

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

Insurers have agreed to pay about $1,476 for this procedure. That total is two separate charges: $95.50 to the doctor who performs it, and $1,380 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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$95.50$63.10 to $126
Facility feeThe hospital or surgery center$1,380$537 to $2,512

How much rates vary

Facilitymedian $1,380 · 10th to 90th $98 to $5,623Professionalmedian $95 · 10th to 90th $52 to $182
$50$200$1K$5Kfacility $1,380professional $95

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
$97.72
Median
$1,584.89
Typical High
$5,623.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$91.20
Typical High
$181.97
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$34.67
Typical High
$34.67
BCBS
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$912.01
Typical High
$1,230.27
BCBS
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$95.50
Typical High
$144.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$123.03
Typical High
$1,000.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$107.15
Typical High
$223.87
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$147.91
Typical High
$398.11
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$64.57
Typical High
$123.03
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$123.03
United
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$1,288.25
Typical High
$3,467.37
United
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$102.33
Typical High
$186.21

Where Illinois 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

Illinois· 26th of 50

$1,476

$95.50 physician + $1,380 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.