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Needle Biopsy of a Salivary Gland

New Mexico 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?

$221

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

Insurers have agreed to pay about $221 for this procedure. That total is two separate charges: $95.50 to the doctor who performs it, and $126 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$95.50$56.23 to $112
Facility feeThe hospital or surgery center$126$79.43 to $282

How much rates vary

Facilitymedian $126 · 10th to 90th $62 to $2,818Professionalmedian $95 · 10th to 90th $51 to $166
$100$1K$10Kfacility $126professional $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
$74.13
Median
$147.91
Typical High
$2,137.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$91.20
Typical High
$158.49
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$46.77
Typical High
$46.77
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$2,884.03
Typical High
$4,677.35
BCBS
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$89.13
Typical High
$134.90
Cigna
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$75.86
Cigna
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$104.71
Typical High
$177.83
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$131.83
Providence
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$104.71
Typical High
$181.97
Providence
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$112.20
Typical High
$208.93
United
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$2,454.71
Typical High
$3,019.95
United
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$107.15
Typical High
$186.21

Where New Mexico 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 Mexico· 46th of 50

$221

$95.50 physician + $126 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.