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Salivary Gland Biopsy

Georgia 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?

$355

Typical negotiated rate. In Georgia, July 2026.

Insurers have agreed to pay about $355 for this service. The price depends on where it is billed: about $331 from a physician practice, and about $2,884 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$331$269 to $457
FacilityA hospital or hospital-owned outpatient department$2,884$1,202 to $4,786

How much rates vary

Facilitymedian $2,884 · 10th to 90th $550 to $6,918Professionalmedian $331 · 10th to 90th $224 to $631
$200$500$1K$2K$5K$10Kfacility $2,884professional $331

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
$338.84
Median
$4,365.16
Typical High
$7,943.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$309.03
Typical High
$602.56
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$281.84
Typical High
$562.34
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$2,137.96
Typical High
$5,248.07
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$436.52
Typical High
$660.69
CareSource
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$208.93
Cigna
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$741.31
Typical High
$891.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$363.08
Typical High
$602.56
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$363.08
Typical High
$630.96
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$302.00
United
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$2,290.87
Typical High
$5,011.87
United
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$323.59
Typical High
$602.56

Where Georgia 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.

Georgia· 13th of 51

$355

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.