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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.

Rates data updated July 2026.

How much does Needle Biopsy of a Salivary Gland cost?

$430

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

Insurers have agreed to pay about $430 for this procedure. That total is two separate charges: $91.20 to the doctor who performs it, and $339 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$57.54 to $117
Facility feeThe hospital or surgery center$339$110 to $646

How much rates vary

Facilitymedian $339 · 10th to 90th $60 to $933Professionalmedian $91 · 10th to 90th $51 to $162
$50$100$200$500$1K$2Kfacility $339professional $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
$58.88
Median
$426.58
Typical High
$933.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$93.33
Typical High
$162.18
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$53.70
Typical High
$77.62
Cigna
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$69.18
Typical High
$436.52
Cigna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$100.00
Typical High
$190.55
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$109.65
Typical High
$151.36
United
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$323.59
Typical High
$912.01
United
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$95.50
Typical High
$177.83
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$100.00
Typical High
$144.54

Where Maryland 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

Maryland· 36th of 50

$430

$91.20 physician + $339 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.