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Salivary Gland Biopsy

Iowa 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?

$380

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $380 for this service. The price depends on where it is billed: about $380 from a physician practice, and about $2,291 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$380$275 to $550
FacilityA hospital or hospital-owned outpatient department$2,291$513 to $4,467

How much rates vary

Facilitymedian $2,291 · 10th to 90th $355 to $6,457Professionalmedian $380 · 10th to 90th $219 to $1,288
$200$500$1K$2K$5K$10Kfacility $2,291professional $380

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
$512.86
Median
$3,388.44
Typical High
$7,943.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$316.23
Typical High
$1,348.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$1,584.89
Typical High
$1,584.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$524.81
Typical High
$891.25
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$478.63
Typical High
$891.25
Medica
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$512.86
Typical High
$3,630.78
Medica
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$602.56
Typical High
$2,290.87
Midlands
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$602.56
Typical High
$812.83
Midlands
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$1,584.89
Typical High
$1,584.89
Midlands
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$588.84
Typical High
$851.14
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$380.19
Typical High
$645.65
United
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$3,548.13
Typical High
$5,128.61
United
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$389.05
Typical High
$724.44
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$501.19
Typical High
$758.58

Where Iowa 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.

Iowa· 8th of 51

$380

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.