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Needle Biopsy of a Salivary Gland

Missouri 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?

$1,720

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

Insurers have agreed to pay about $1,720 for this procedure. That total is two separate charges: $97.72 to the doctor who performs it, and $1,622 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$97.72$63.10 to $135
Facility feeThe hospital or surgery center$1,622$347 to $3,020

How much rates vary

Facilitymedian $1,622 · 10th to 90th $83 to $4,786Professionalmedian $98 · 10th to 90th $52 to $275
$50$100$200$500$1K$2K$5Kfacility $1,622professional $98

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
$89.13
Median
$2,398.83
Typical High
$5,623.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$95.50
Typical High
$323.59
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$43.65
Typical High
$102.33
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$1,819.70
Typical High
$3,981.07
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$95.50
Typical High
$154.88
BCBS
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$95.50
Typical High
$147.91
Cigna
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$1,659.59
Typical High
$1,659.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$104.71
Typical High
$213.80
Medica
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$102.33
Typical High
$295.12
Medica
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$181.97
Typical High
$724.44
United
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$1,047.13
Typical High
$2,089.30
United
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$95.50
Typical High
$177.83

Where Missouri 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

Missouri· 22nd of 50

$1,720

$97.72 physician + $1,622 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.