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Salivary Gland Biopsy

California 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?

$372

Typical negotiated rate. In California, July 2026.

Insurers have agreed to pay about $372 for this service. The price depends on where it is billed: about $309 from a physician practice, and about $3,981 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 14 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$309$240 to $437
FacilityA hospital or hospital-owned outpatient department$3,981$2,570 to $6,166

How much rates vary

Facilitymedian $3,981 · 10th to 90th $355 to $12,882Professionalmedian $309 · 10th to 90th $214 to $977
$100$500$2K$10Kfacility $3,981professional $309

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
$1,995.26
Median
$6,165.95
Typical High
$17,378.01
Aetna
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$302.00
Typical High
$1,258.93
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$251.19
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$4,466.84
Typical High
$12,882.50
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$316.23
Typical High
$630.96
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$4,168.69
Typical High
$8,709.64
Blue Shield
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$331.13
Typical High
$660.69
Cigna
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$891.25
Typical High
$1,258.93
Cigna
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$346.74
Typical High
$630.96
Contra Costa Health
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$234.42
Typical High
$501.19
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$323.59
Typical High
$588.84
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$3,715.35
Median
$28,840.32
Typical High
$28,840.32
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$2,187.76
Median
$2,570.40
Typical High
$2,570.40
Molina
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$436.52
Optum
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$70.79
Providence
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$338.84
Typical High
$562.34
Providence
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$363.08
Typical High
$691.83
Sutter Health Plus
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$741.31
Typical High
$1,000.00
The Alliance
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$199.53
Typical High
$331.13
United
Setting
Facility
Modifier
Global
Typical Low
$1,905.46
Median
$4,073.80
Typical High
$9,549.93
United
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$288.40
Typical High
$562.34

Where California 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.

California· 11th of 51

$372

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.