go back

Needle Biopsy of a Salivary Gland

Indiana 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?

$3,559

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

Insurers have agreed to pay about $3,559 for this procedure. That total is two separate charges: $91.20 to the doctor who performs it, and $3,467 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 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$91.20$56.23 to $110
Facility feeThe hospital or surgery center$3,467$776 to $5,129

How much rates vary

Facilitymedian $3,467 · 10th to 90th $85 to $7,244Professionalmedian $91 · 10th to 90th $51 to $158
$50$200$1K$5Kfacility $3,467professional $91

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
$63.10
Median
$151.36
Typical High
$4,897.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$91.20
Typical High
$158.49
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$46.77
Typical High
$72.44
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,344.23
Median
$4,073.80
Typical High
$8,317.64
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$91.20
Typical High
$151.36
CareSource
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$53.70
Typical High
$60.26
CareSource
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$45.71
Typical High
$45.71
Cigna
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$83.18
Typical High
$758.58
Cigna
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$104.71
Typical High
$208.93
United
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$2,691.53
Typical High
$4,265.80
United
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$91.20
Typical High
$151.36

Where Indiana 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

Indiana· 4th of 50

$3,559

$91.20 physician + $3,467 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.