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Salivary Gland Biopsy

Colorado 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?

$316

Typical negotiated rate. In Colorado, July 2026.

Insurers have agreed to pay about $316 for this service. The price depends on where it is billed: about $309 from a physician practice, and about $3,236 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 7 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 $380
FacilityA hospital or hospital-owned outpatient department$3,236$380 to $6,310

How much rates vary

Facilitymedian $3,236 · 10th to 90th $282 to $8,511Professionalmedian $309 · 10th to 90th $224 to $537
$200$500$1K$2K$5K$10Kfacility $3,236professional $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
$1,230.27
Median
$5,495.41
Typical High
$10,964.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$295.12
Typical High
$467.74
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$6,760.83
Typical High
$10,964.78
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$371.54
Typical High
$562.34
Cigna
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$1,096.48
Typical High
$2,187.76
Cigna
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$354.81
Typical High
$549.54
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$346.74
Typical High
$549.54
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$316.23
Typical High
$912.01
Select Health
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$407.38
Typical High
$660.69
Select Health
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$251.19
Typical High
$354.81
United
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$3,235.94
Typical High
$6,309.57
United
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$363.08
Typical High
$575.44

Where Colorado 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.

Colorado· 25th of 51

$316

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.