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Needle Biopsy of a Salivary Gland

Ohio 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?

$2,180

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

Insurers have agreed to pay about $2,180 for this procedure. That total is two separate charges: $91.20 to the doctor who performs it, and $2,089 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 9 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$91.20$56.23 to $115
Facility feeThe hospital or surgery center$2,089$479 to $3,162

How much rates vary

Facilitymedian $2,089 · 10th to 90th $100 to $8,913Professionalmedian $91 · 10th to 90th $49 to $158
$50$200$1K$5Kfacility $2,089professional $91

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
$91.20
Median
$2,511.89
Typical High
$9,549.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$91.20
Typical High
$162.18
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$34.67
Typical High
$85.11
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$1,949.84
Typical High
$3,981.07
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$85.11
Typical High
$144.54
CareSource
Setting
Facility
Modifier
Global
Typical Low
$48.98
Median
$56.23
Typical High
$79.43
CareSource
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$61.66
Cigna
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$93.33
Typical High
$575.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$104.71
Typical High
$234.42
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$363.08
Typical High
$1,122.02
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$104.71
Typical High
$245.47
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$40.74
SummaCare
Setting
Facility
Modifier
Global
Typical Low
$1,096.48
Median
$1,096.48
Typical High
$1,096.48
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$93.33
Typical High
$169.82
United
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$1,348.96
Typical High
$3,388.44
United
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$91.20
Typical High
$158.49

Where Ohio 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

Ohio· 16th of 50

$2,180

$91.20 physician + $2,089 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.