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Needle Biopsy of a Salivary Gland

Tennessee 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?

$1,539

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

Insurers have agreed to pay about $1,539 for this procedure. That total is two separate charges: $93.33 to the doctor who performs it, and $1,445 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 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$93.33$60.26 to $120
Facility feeThe hospital or surgery center$1,445$794 to $2,399

How much rates vary

Facilitymedian $1,445 · 10th to 90th $275 to $3,236Professionalmedian $93 · 10th to 90th $51 to $178
$50$100$200$500$1K$2K$5Kfacility $1,445professional $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
$218.78
Median
$1,778.28
Typical High
$4,073.80
Aetna
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$91.20
Typical High
$165.96
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$77.62
Typical High
$117.49
BCBS
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$1,445.44
Typical High
$2,041.74
BCBS
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$112.20
Typical High
$213.80
Cigna
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$138.04
Typical High
$501.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$100.00
Typical High
$186.21
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$2,951.21
Typical High
$2,951.21
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$794.33
Typical High
$794.33
United
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$1,318.26
Typical High
$2,570.40
United
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$95.50
Typical High
$173.78

Where Tennessee 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

Tennessee· 24th of 50

$1,539

$93.33 physician + $1,445 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.