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Needle Biopsy of a Salivary Gland

Vermont 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?

$112

Typical physician fee. In Vermont, July 2026.

Insurers have agreed to pay about $112 for this service. Most negotiated rates run $63.10 to $120.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $112 · 10th to 90th $60 to $141
$100$200professional $112

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
Professional
Modifier
Global
Typical Low
$56.23
Median
$107.15
Typical High
$123.03
BCBS
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$354.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$120.23
Typical High
$239.88
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$151.36
Typical High
$269.15
United
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$125.89
Typical High
$218.78

Where Vermont sits

The same service costs 1.7 times more in Minnesota than in Rhode Island. 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.

Vermont· 10th of 51

$112

MN $158RI $91.20

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.