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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.

Facilitymedian $2,291 · 10th–90th $355$6,4570%5%10%10th90th$2,291Professionalmedian $380 · 10th–90th $219$1,2880%10%10th90th$380$200.0$500.0$1.0K$2.0K$5.0K$10.0K

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
$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