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Needle Biopsy of a Salivary Gland

Texas 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.

Facilitymedian $437 · 10th–90th $65$4,5710%5%10%10th90th$437Professionalmedian $89 · 10th–90th $51$1480%10%20%10th90th$89$10.0$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$2,187.76
Typical High
$6,918.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$93.33
Typical High
$151.36
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$43.65
Typical High
$102.33
BCBS
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$112.20
Typical High
$478.63
BCBS
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$83.18
Typical High
$125.89
Christus
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$354.81
Typical High
$354.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$89.13
Typical High
$354.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$107.15
Typical High
$218.78
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$56.23
Typical High
$2,951.21
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$794.33
Typical High
$794.33
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$107.15
Typical High
$354.81
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$95.50
Typical High
$169.82
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$81.28
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$223.87
Typical High
$263.03
Providence
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$102.33
Typical High
$186.21
Providence
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$109.65
Typical High
$229.09
United
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$1,380.38
Typical High
$3,467.37
United
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$87.10
Typical High
$151.36
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$91.20
Typical High
$102.33