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Needle Biopsy of a Salivary Gland

Kentucky 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?

$2,176

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

Insurers have agreed to pay about $2,176 for this procedure. That total is two separate charges: $87.10 to the doctor who performs it, and $2,089 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$87.10$53.70 to $110
Facility feeThe hospital or surgery center$2,089$1,202 to $3,548

How much rates vary

Facilitymedian $2,089 · 10th to 90th $85 to $4,266Professionalmedian $87 · 10th to 90th $50 to $155
$50$100$200$500$1K$2K$5Kfacility $2,089professional $87

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
$64.57
Median
$398.11
Typical High
$3,890.45
Aetna
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$89.13
Typical High
$158.49
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$34.67
Typical High
$34.67
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$2,398.83
Typical High
$4,365.16
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$85.11
Typical High
$138.04
CareSource
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$54.95
Typical High
$77.62
CareSource
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$60.26
Typical High
$77.62
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$83.18
Typical High
$83.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$107.15
Typical High
$758.58
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$47.86
United
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$954.99
Typical High
$2,630.27
United
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$93.33
Typical High
$162.18

Where Kentucky 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

Kentucky· 17th of 50

$2,176

$87.10 physician + $2,089 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.