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Salivary Gland Biopsy

Alabama rates for HCPCS 42405

This procedure removes a small sample of tissue from a salivary gland through a surgical cut, so it can be examined under a microscope. It is used to help diagnose a lump, swelling, or other abnormality found in a salivary gland.

Rates data updated July 2026.

How much does Salivary Gland Biopsy cost?

$309

Typical negotiated rate. In Alabama, July 2026.

Insurers have agreed to pay about $309 for this service. The price depends on where it is billed: about $302 from a physician practice, and about $2,344 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$302$240 to $447
FacilityA hospital or hospital-owned outpatient department$2,344$1,122 to $4,365

How much rates vary

Facilitymedian $2,344 · 10th to 90th $776 to $5,248Professionalmedian $302 · 10th to 90th $209 to $603
$200$500$1K$2K$5K$10Kfacility $2,344professional $302

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
$758.58
Median
$1,258.93
Typical High
$2,570.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$302.00
Typical High
$602.56
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$251.19
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,981.07
Median
$4,786.30
Typical High
$6,456.54
BCBS
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$338.84
Typical High
$426.58
Cigna
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$338.84
Typical High
$616.60
United
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$1,778.28
Typical High
$3,162.28
United
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$281.84
Typical High
$478.63

Where Alabama sits

The same service costs 2.1 times more in Minnesota than in Kentucky. 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.

Alabama· 30th of 51

$309

MN $589KY $275

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.