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Needle Biopsy of a Salivary Gland

Virginia 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?

$227

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

Insurers have agreed to pay about $227 for this procedure. That total is two separate charges: $95.50 to the doctor who performs it, and $132 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 8 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$95.50$61.66 to $120
Facility feeThe hospital or surgery center$132$79.43 to $813

How much rates vary

Facilitymedian $132 · 10th to 90th $60 to $3,631Professionalmedian $95 · 10th to 90th $52 to $170
$50$200$1K$5Kfacility $132professional $95

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
$91.20
Median
$537.03
Typical High
$5,888.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$95.50
Typical High
$162.18
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$2,570.40
Typical High
$2,951.21
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$95.50
Typical High
$162.18
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$57.54
Typical High
$323.59
Cigna
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$83.18
Typical High
$346.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$104.71
Typical High
$194.98
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$114.82
Typical High
$234.42
Medcost
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$144.54
Typical High
$239.88
Medcost
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$104.71
Typical High
$181.97
Medcost
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$229.09
Sentara
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$69.18
Typical High
$501.19
Sentara
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$125.89
Typical High
$501.19
United
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$1,737.80
Typical High
$3,890.45
United
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$93.33
Typical High
$173.78

Where Virginia 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

Virginia· 45th of 50

$227

$95.50 physician + $132 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.