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Needle Biopsy of a Salivary Gland

Maryland 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 $575 · 10th–90th $257$1,2020%5%10%10th90th$575Professionalmedian $95 · 10th–90th $51$1700%10%10th90th$95$10.0$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
$371.54
Median
$645.65
Typical High
$1,202.26
Aetna
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$95.50
Typical High
$177.83
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$57.54
Typical High
$89.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$69.18
Typical High
$380.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$100.00
Typical High
$204.17
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$109.65
Typical High
$151.36
United
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$346.74
Typical High
$1,000.00
United
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$93.33
Typical High
$165.96
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$107.15
Typical High
$144.54