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Needle Biopsy of a Salivary Gland

West 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?

$185

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

Insurers have agreed to pay about $185 for this procedure. That total is two separate charges: $91.20 to the doctor who performs it, and $93.33 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 5 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$91.20$58.88 to $112
Facility feeThe hospital or surgery center$93.33$51.29 to $1,413

How much rates vary

Facilitymedian $93 · 10th to 90th $51 to $3,311Professionalmedian $91 · 10th to 90th $51 to $135
$50$100$200$500$1K$2Kfacility $93professional $91

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
$51.29
Median
$93.33
Typical High
$3,311.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$91.20
Typical High
$117.49
CareSource
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$66.07
CareSource
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$58.88
Typical High
$58.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$83.18
Typical High
$83.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$107.15
Typical High
$758.58
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$2,818.38
Typical High
$4,677.35
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$74.13
Typical High
$74.13
United
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$758.58
Typical High
$2,089.30
United
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$85.11
Typical High
$154.88

Where West 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

West Virginia· 50th of 50

$185

$91.20 physician + $93.33 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.