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Salivary Gland Biopsy

Idaho 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?

$339

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $339 for this service. The price depends on where it is billed: about $339 from a physician practice, and about $457 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$339$282 to $468
FacilityA hospital or hospital-owned outpatient department$457$316 to $1,148

How much rates vary

Facilitymedian $457 · 10th to 90th $245 to $3,981Professionalmedian $339 · 10th to 90th $224 to $661
$200$500$1K$2K$5Kfacility $457professional $339

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
$1,621.81
Median
$4,466.84
Typical High
$7,244.36
Aetna
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$309.03
Typical High
$660.69
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$2,884.03
Typical High
$4,570.88
BCBS
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$457.09
Typical High
$602.56
Cigna
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$371.54
Typical High
$537.03
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$380.19
Typical High
$707.95
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$457.09
Typical High
$616.60
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$281.84
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$2,884.03
Median
$3,715.35
Typical High
$5,011.87
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$478.63
Typical High
$616.60
Select Health
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$2,344.23
Typical High
$4,677.35
Select Health
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$281.84
Typical High
$436.52
United
Setting
Facility
Modifier
Global
Typical Low
$3,162.28
Median
$6,165.95
Typical High
$7,762.47
United
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$371.54
Typical High
$562.34

Where Idaho 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.

Idaho· 17th of 51

$339

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.