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Salivary Gland Biopsy

Delaware 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?

$295

Typical negotiated rate. In Delaware, July 2026.

Insurers have agreed to pay about $295 for this service. The price depends on where it is billed: about $295 from a physician practice, and about $1,862 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 3 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 $347
FacilityA hospital or hospital-owned outpatient department$1,862$417 to $4,074

How much rates vary

Facilitymedian $1,862 · 10th to 90th $240 to $7,244Professionalmedian $295 · 10th to 90th $224 to $468
$100$200$500$1K$2K$5Kfacility $1,862professional $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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$4,073.80
Typical High
$7,244.36
Aetna
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$295.12
Typical High
$467.74
Cigna
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$724.44
Typical High
$1,862.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$316.23
Typical High
$537.03
United
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$239.88
Typical High
$1,318.26
United
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$281.84
Typical High
$446.68

Where Delaware 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.

Delaware· 45th of 51

$295

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.