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Salivary Gland Biopsy

Florida 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 Florida, July 2026.

Insurers have agreed to pay about $295 for this service. The price depends on where it is billed: about $288 from a physician practice, and about $4,677 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 8 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$288$234 to $355
FacilityA hospital or hospital-owned outpatient department$4,677$1,622 to $8,128

How much rates vary

Facilitymedian $4,677 · 10th to 90th $776 to $11,482Professionalmedian $288 · 10th to 90th $204 to $537
$50$200$1K$5Kfacility $4,677professional $288

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
$741.31
Median
$4,786.30
Typical High
$12,022.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$288.40
Typical High
$602.56
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$398.11
Typical High
$537.03
AvMed
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$1,819.70
Typical High
$10,471.29
AvMed
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$263.03
Typical High
$338.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$660.69
Typical High
$1,778.28
Cigna
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$338.84
Typical High
$575.44
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$2,570.40
Median
$4,786.30
Typical High
$9,549.93
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$251.19
Typical High
$363.08
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$173.78
Typical High
$371.54
United
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$3,090.30
Typical High
$6,760.83
United
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$275.42
Typical High
$501.19
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$234.42
Typical High
$323.59

Where Florida 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.

Florida· 49th 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.