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Needle Biopsy of a Salivary Gland

South Carolina 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?

$245

Typical total for the visit. In South Carolina, July 2026.

Insurers have agreed to pay about $245 for this procedure. That total is two separate charges: $93.33 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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$93.33$63.10 to $117
Facility feeThe hospital or surgery center$151$93.33 to $2,455

How much rates vary

Facilitymedian $151 · 10th to 90th $63 to $8,511Professionalmedian $93 · 10th to 90th $51 to $166
$50.0$200.0$1.0K$5.0K$20.0Kfacility $151professional $93

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
$63.10
Median
$3,548.13
Typical High
$16,595.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$93.33
Typical High
$165.96
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$93.33
Typical High
$93.33
BCBS
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$1,905.46
Typical High
$3,311.31
BCBS
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$91.20
Typical High
$144.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$83.18
Typical High
$562.34
Cigna
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$112.20
Typical High
$234.42
Medcost
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$144.54
Typical High
$144.54
Medcost
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$107.15
Typical High
$186.21
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$3,090.30
Typical High
$6,606.93
United
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$93.33
Typical High
$165.96

Where South Carolina sits

The same service costs 24.7 times more in New Jersey than in West Virginia. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Physician feeFacility feeSouth Carolina $245 · 43rd of 50
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.