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Salivary Gland Biopsy

Washington, DC 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.

Facilitymedian $2,042 · 10th–90th $363$7,7620%10%10th90th$2,042Professionalmedian $282 · 10th–90th $224$4070%10%20%10th90th$282$200.0$500.0$1.0K$2.0K$5.0K$10.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$2,041.74
Typical High
$4,570.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$269.15
Typical High
$363.08
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$239.88
Typical High
$2,570.40
Cigna
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$331.13
Typical High
$812.83
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$346.74
Typical High
$616.60
United
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$3,162.28
Typical High
$26,302.68
United
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$302.00
Typical High
$630.96