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Needle Biopsy of a Salivary Gland

Oregon 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?

$277

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

Insurers have agreed to pay about $277 for this procedure. That total is two separate charges: $126 to the doctor who performs it, and $151 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$126$91.20 to $191
Facility feeThe hospital or surgery center$151$97.72 to $191

How much rates vary

Facilitymedian $151 · 10th to 90th $66 to $251Professionalmedian $126 · 10th to 90th $56 to $263
$50$100$200$500$1K$2K$5Kfacility $151professional $126

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
$138.04
Median
$1,548.82
Typical High
$7,943.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$102.33
Typical High
$323.59
Cigna
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$109.65
Typical High
$1,949.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$138.04
Typical High
$269.15
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$144.54
Typical High
$229.09
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$107.15
Typical High
$213.80
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$158.49
Typical High
$229.09
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$186.21
Typical High
$204.17
Providence
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$107.15
Typical High
$218.78
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$138.04
Typical High
$245.47
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$1,778.28
Median
$2,290.87
Typical High
$2,951.21
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$165.96
Typical High
$257.04
United
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$2,137.96
Typical High
$4,897.79
United
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$141.25
Typical High
$257.04

Where Oregon 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

Oregon· 40th of 50

$277

$126 physician + $151 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.