go back

Salivary Gland Biopsy

Connecticut 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 Connecticut, 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 $5,248 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$309$251 to $457
FacilityA hospital or hospital-owned outpatient department$5,248$4,169 to $7,079

How much rates vary

Facilitymedian $5,248 · 10th to 90th $3,090 to $8,511Professionalmedian $309 · 10th to 90th $219 to $692
$200$500$1K$2K$5K$10Kfacility $5,248professional $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
$3,090.30
Median
$5,370.32
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$302.00
Typical High
$645.65
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,715.35
Median
$4,365.16
Typical High
$10,964.78
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$501.19
Typical High
$741.31
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$1,318.26
Typical High
$1,862.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$416.87
Typical High
$758.58
ConnectiCare
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$758.58
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$501.19
Typical High
$630.96
Health New England
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$562.34
Typical High
$562.34
United
Setting
Facility
Modifier
Global
Typical Low
$1,096.48
Median
$5,495.41
Typical High
$9,332.54
United
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$398.11
Typical High
$851.14

Where Connecticut 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.

Connecticut· 26th 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.