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Needle Biopsy of a Salivary Gland

Montana 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?

$219

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

Insurers have agreed to pay about $219 for this procedure. That total is two separate charges: $95.50 to the doctor who performs it, and $123 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$95.50$54.95 to $141
Facility feeThe hospital or surgery center$123$91.20 to $170

How much rates vary

Facilitymedian $123 · 10th to 90th $76 to $214Professionalmedian $95 · 10th to 90th $51 to $178
$100$1K$10Kfacility $123professional $95

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
$1,380.38
Median
$1,380.38
Typical High
$1,380.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$87.10
Typical High
$158.49
BCBS
Setting
Facility
Modifier
Global
Typical Low
$64,565.42
Median
$75,857.76
Typical High
$91,201.08
BCBS
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$83.18
Typical High
$151.36
Cigna
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$83.18
Typical High
$83.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$109.65
Typical High
$288.40
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$162.18
Typical High
$186.21
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$162.18
Typical High
$186.21
Providence
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$114.82
Typical High
$213.80
Providence
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$131.83
Typical High
$245.47
United
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$120.23
United
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$125.89
Typical High
$199.53

Where Montana 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

Montana· 47th of 50

$219

$95.50 physician + $123 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.