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Needle Biopsy of a Salivary Gland

North Carolina 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?

$259

Typical total for the visit. In North Carolina, July 2026.

Insurers have agreed to pay about $259 for this procedure. That total is two separate charges: $117 to the doctor who performs it, and $141 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 8 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$117$85.11 to $166
Facility feeThe hospital or surgery center$141$87.10 to $617

How much rates vary

Facilitymedian $141 · 10th to 90th $56 to $2,138Professionalmedian $117 · 10th to 90th $58 to $282
$50.0$200.0$1.0K$5.0Kfacility $141professional $117

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
$87.10
Median
$616.60
Typical High
$4,466.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$95.50
Typical High
$281.84
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$181.97
Typical High
$181.97
BCBS
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$104.71
Typical High
$117.49
BCBS
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$147.91
Typical High
$302.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$117.49
Typical High
$478.63
Cigna
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$117.49
Typical High
$229.09
Medcost
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$144.54
Typical High
$144.54
Medcost
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$97.72
Typical High
$177.83
Medcost
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$263.03
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$134.90
United
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$1,148.15
Typical High
$3,801.89
United
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$89.13
Typical High
$158.49
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$2,951.21
Typical High
$2,951.21
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$794.33

Where North Carolina 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 feeNorth Carolina $259 · 42nd 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.