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Needle Biopsy of a Salivary Gland

New Jersey 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?

$4,562

Typical total for the visit. In New Jersey, July 2026.

Insurers have agreed to pay about $4,562 for this procedure. That total is two separate charges: $95.50 to the doctor who performs it, and $4,467 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 $123
Facility feeThe hospital or surgery center$4,467$1,622 to $6,761

How much rates vary

Facilitymedian $4,467 · 10th to 90th $102 to $10,233Professionalmedian $95 · 10th to 90th $49 to $195
$50$200$1K$5Kfacility $4,467professional $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
$102.33
Median
$4,570.88
Typical High
$10,232.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$91.20
Typical High
$162.18
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$46.77
Typical High
$46.77
Cigna
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$109.65
Typical High
$269.15
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$131.83
Typical High
$204.17
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,380.38
Median
$2,290.87
Typical High
$3,715.35
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$104.71
Typical High
$223.87
United
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$3,388.44
Typical High
$6,760.83
United
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$91.20
Typical High
$190.55

Where New Jersey 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

New Jersey· 1st of 50

$4,562

$95.50 physician + $4,467 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.