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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.

Facilitymedian $1,622 · 10th–90th $100$5,6230%5%10th90th$1,622Professionalmedian $95 · 10th–90th $52$1860%10%10th90th$95$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$1,862.09
Typical High
$7,585.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$95.50
Typical High
$190.55
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$46.77
Typical High
$46.77
BCBS
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$912.01
Typical High
$1,230.27
BCBS
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$95.50
Typical High
$147.91
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
$1,412.54
Typical High
$3,548.13
United
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$100.00
Typical High
$181.97