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Needle Biopsy of a Salivary Gland

Michigan 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?

$1,568

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

Insurers have agreed to pay about $1,568 for this procedure. That total is two separate charges: $89.13 to the doctor who performs it, and $1,479 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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$89.13$57.54 to $110
Facility feeThe hospital or surgery center$1,479$126 to $2,042

How much rates vary

Facilitymedian $1,479 · 10th to 90th $69 to $4,898Professionalmedian $89 · 10th to 90th $51 to $132
$10.0$50.0$200.0$1.0K$5.0Kfacility $1,479professional $89

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
$69.18
Median
$1,479.11
Typical High
$4,897.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$87.10
Typical High
$123.03
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$85.11
BCBS
Setting
Facility
Modifier
Global
Typical Low
$12.59
Median
$14.79
Typical High
$14.79
BCBS
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$104.71
Typical High
$131.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$95.50
Typical High
$181.97
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$269.15
Typical High
$4,897.79
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$100.00
Typical High
$154.88
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$194.98
Typical High
$407.38
United
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$1,412.54
Typical High
$4,073.80
United
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$97.72
Typical High
$162.18

Where Michigan sits

The same service costs 24.7 times more in New Jersey than in West Virginia. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Physician feeFacility feeMichigan $1,568 · 23rd of 50
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.