go back

Needle Biopsy of a Salivary Gland

Rhode Island 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?

$2,542

Typical total for the visit. In Rhode Island, July 2026.

Insurers have agreed to pay about $2,542 for this procedure. That total is two separate charges: $87.10 to the doctor who performs it, and $2,455 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 4 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$87.10$72.44 to $138
Facility feeThe hospital or surgery center$2,455$1,549 to $4,467

How much rates vary

Facilitymedian $2,455 · 10th to 90th $631 to $4,467Professionalmedian $87 · 10th to 90th $56 to $151
$50$100$200$500$1K$2K$5Kfacility $2,455professional $87

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
$1,548.82
Median
$4,466.84
Typical High
$4,466.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$87.10
Typical High
$138.04
BCBS
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$107.15
Typical High
$186.21
Cigna
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$117.49
Typical High
$446.68
Cigna
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$117.49
Typical High
$234.42
United
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$1,995.26
Typical High
$4,073.80
United
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$97.72
Typical High
$165.96

Where Rhode Island 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

Rhode Island· 11th of 50

$2,542

$87.10 physician + $2,455 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.