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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.

Facilitymedian $2,138 · 10th–90th $89$4,2660%10%10th90th$2,138Professionalmedian $91 · 10th–90th $51$1620%10%10th90th$91$50.0$100.0$200.0$500.0$1.0K$2.0K$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
$64.57
Median
$371.54
Typical High
$3,890.45
Aetna
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$93.33
Typical High
$169.82
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,479.11
Median
$2,398.83
Typical High
$4,265.80
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$85.11
Typical High
$141.25
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
$89.13
Typical High
$89.13
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
$323.59
Median
$954.99
Typical High
$2,630.27
United
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$93.33
Typical High
$158.49