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Needle Biopsy of a Salivary Gland

Utah 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?

$3,122

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

Insurers have agreed to pay about $3,122 for this procedure. That total is two separate charges: $102 to the doctor who performs it, and $3,020 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$72.44 to $155
Facility feeThe hospital or surgery center$3,020$1,148 to $3,981

How much rates vary

Facilitymedian $3,020 · 10th to 90th $76 to $4,571Professionalmedian $102 · 10th to 90th $51 to $288
$50$100$200$500$1K$2K$5Kfacility $3,020professional $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
$75.86
Median
$3,019.95
Typical High
$4,570.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$102.33
Typical High
$288.40
Cigna
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$109.65
Typical High
$275.42
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$239.88
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$1,380.38
Typical High
$2,089.30
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$117.49
Typical High
$194.98
Select Health
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$186.21
Typical High
$186.21
Select Health
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$95.50
Typical High
$186.21
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$114.82
Typical High
$186.21
United
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$2,818.38
Typical High
$5,128.61
United
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$93.33
Typical High
$158.49

Where Utah 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

Utah· 6th of 50

$3,122

$102 physician + $3,020 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.