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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.

Rates data updated July 2026.

How much does Needle Biopsy of a Salivary Gland cost?

$1,805

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

Insurers have agreed to pay about $1,805 for this procedure. That total is two separate charges: $107 to the doctor who performs it, and $1,698 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$107$67.61 to $138
Facility feeThe hospital or surgery center$1,698$1,698 to $2,399

How much rates vary

Facilitymedian $1,698 · 10th to 90th $1,202 to $2,399Professionalmedian $107 · 10th to 90th $58 to $209
$100$200$500$1K$2Kfacility $1,698professional $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
$1,202.26
Median
$1,698.24
Typical High
$2,398.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$95.50
Typical High
$125.89
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$107.15
Typical High
$190.55
Cigna
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$457.09
Typical High
$457.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$64.57
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
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$1,698.24
Typical High
$2,398.83
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$102.33
Typical High
$213.80
United
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$114.82
Typical High
$213.80

Where Maine 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

Maine· 19th of 50

$1,805

$107 physician + $1,698 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.