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Needle Biopsy of a Salivary Gland

Massachusetts 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?

$1,107

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

Insurers have agreed to pay about $1,107 for this procedure. That total is two separate charges: $107 to the doctor who performs it, and $1,000 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 9 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$107$66.07 to $158
Facility feeThe hospital or surgery center$1,000$79.43 to $2,344

How much rates vary

Facilitymedian $1,000 · 10th to 90th $63 to $3,388Professionalmedian $107 · 10th to 90th $54 to $251
$50$100$200$500$1K$2K$5Kfacility $1,000professional $107

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
$112.20
Median
$2,089.30
Typical High
$3,715.35
Aetna
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$95.50
Typical High
$186.21
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$851.14
Typical High
$3,548.13
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$114.82
Typical High
$707.95
BCBS
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$63.10
Typical High
$144.54
BCBS
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$141.25
Typical High
$257.04
Cigna
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$199.53
Typical High
$501.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$131.83
Typical High
$288.40
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$70.79
Typical High
$3,311.31
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$128.82
Typical High
$208.93
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$1,949.84
Typical High
$7,079.46
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$114.82
Typical High
$239.88
Health New England
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$1,122.02
Typical High
$1,621.81
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$851.14
Typical High
$3,548.13
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$114.82
Typical High
$707.95
United
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$1,862.09
Typical High
$5,011.87
United
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$123.03
Typical High
$251.19

Where Massachusetts 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

Massachusetts· 31st of 50

$1,107

$107 physician + $1,000 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.