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Salivary Gland Biopsy

Arizona 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?

$302

Typical negotiated rate. In Arizona, July 2026.

Insurers have agreed to pay about $302 for this service. The price depends on where it is billed: about $295 from a physician practice, and about $2,042 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 6 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$295$240 to $363
FacilityA hospital or hospital-owned outpatient department$2,042$380 to $3,890

How much rates vary

Facilitymedian $2,042 · 10th to 90th $263 to $5,623Professionalmedian $295 · 10th to 90th $214 to $589
$200$500$1K$2K$5Kfacility $2,042professional $295

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
$1,905.46
Median
$3,890.45
Typical High
$6,760.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$288.40
Typical High
$512.86
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$346.74
Typical High
$380.19
BCBS
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$2,290.87
Typical High
$4,466.84
BCBS
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$363.08
Typical High
$660.69
Cigna
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$741.31
Typical High
$1,202.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$309.03
Typical High
$562.34
Medica
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$316.23
Typical High
$851.14
Medica
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$416.87
Typical High
$2,290.87
United
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$1,659.59
Typical High
$4,677.35
United
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$288.40
Typical High
$501.19

Where Arizona 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.

Arizona· 39th of 51

$302

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.