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Needle Biopsy of a Salivary Gland

South Dakota 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?

$348

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

Insurers have agreed to pay about $348 for this procedure. That total is two separate charges: $102 to the doctor who performs it, and $245 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$102$66.07 to $155
Facility feeThe hospital or surgery center$245$105 to $1,905

How much rates vary

Facilitymedian $245 · 10th to 90th $68 to $1,905Professionalmedian $102 · 10th to 90th $46 to $219
$50$100$200$500$1K$2Kfacility $245professional $102

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
$1,905.46
Median
$1,905.46
Typical High
$2,290.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$54.95
Typical High
$107.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$154.88
Typical High
$281.84
Medica
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$114.82
Typical High
$245.47
Medica
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$181.97
Typical High
$724.44
Midlands
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$131.83
Typical High
$239.88
Midlands
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$112.20
Typical High
$213.80
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$128.82
Typical High
$181.97
United
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$1,659.59
Typical High
$1,659.59
United
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$120.23
Typical High
$223.87
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$123.03
Typical High
$239.88

Where South Dakota 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

South Dakota· 37th of 50

$348

$102 physician + $245 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.