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Needle Biopsy of a Salivary Gland

Wisconsin 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 $2,754 · 10th–90th $87$5,0120%10%10th90th$2,754Professionalmedian $102 · 10th–90th $51$2750%10%10th90th$102$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
$57.54
Median
$109.65
Typical High
$1,905.46
Aetna
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$95.50
Typical High
$190.55
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$3,090.30
Typical High
$5,754.40
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$151.36
Typical High
$416.87
Cigna
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$302.00
Typical High
$478.63
Cigna
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$162.18
Typical High
$363.08
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$102.33
Typical High
$2,754.23
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$165.96
Typical High
$263.03
Medica
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$102.33
Typical High
$2,951.21
Medica
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$229.09
Typical High
$724.44
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$85.11
Network Health
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$2,951.21
Typical High
$3,235.94
Network Health
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$177.83
Typical High
$316.23
Quartz
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$165.96
Typical High
$309.03
Quartz
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$2,951.21
Typical High
$2,951.21
Quartz
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$199.53
Typical High
$758.58
Security Health
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$371.54
Security Health
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$288.40
Typical High
$489.78
United
Setting
Facility
Modifier
Global
Typical Low
$1,905.46
Median
$2,754.23
Typical High
$5,011.87
United
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$120.23
Typical High
$338.84