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Salivary Gland Biopsy

Illinois 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 $1,622 · 10th–90th $309$5,3700%5%10th90th$1,622Professionalmedian $316 · 10th–90th $224$5370%10%10th90th$316$50.0$200.0$1.0K$5.0K

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
$309.03
Median
$1,584.89
Typical High
$5,623.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$302.00
Typical High
$537.03
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$2,238.72
Typical High
$3,801.89
BCBS
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$354.81
Typical High
$426.58
Cigna
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$1,122.02
Typical High
$1,288.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$354.81
Typical High
$602.56
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$467.74
Typical High
$1,122.02
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$288.40
Typical High
$416.87
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$407.38
United
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$2,089.30
Typical High
$4,365.16
United
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$338.84
Typical High
$562.34