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Needle Biopsy of a Salivary Gland

Maine 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 $1,698 · 10th–90th $1,202$2,3990%20%10th90th$1,698Professionalmedian $107 · 10th–90th $54$2090%10%10th90th$107$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
$1,202.26
Median
$1,698.24
Typical High
$2,398.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$100.00
Typical High
$177.83
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$107.15
Typical High
$186.21
Cigna
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$457.09
Typical High
$457.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$114.82
Typical High
$239.88
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$117.49
Typical High
$239.88
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$104.71
Typical High
$204.17
United
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$114.82
Typical High
$208.93