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Salivary Gland Biopsy

Massachusetts 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?

$347

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $347 for this service. The price depends on where it is billed: about $339 from a physician practice, and about $1,549 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 9 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$257 to $525
FacilityA hospital or hospital-owned outpatient department$1,549$302 to $3,311

How much rates vary

Facilitymedian $1,549 · 10th to 90th $269 to $4,677Professionalmedian $339 · 10th to 90th $224 to $794
$200$500$1K$2K$5K$10K$20Kfacility $1,549professional $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
$302.00
Median
$2,754.23
Typical High
$3,715.35
Aetna
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$288.40
Typical High
$676.08
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$3,630.78
Typical High
$28,840.32
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$389.05
Typical High
$2,187.76
BCBS
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$616.60
BCBS
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$630.96
Typical High
$1,659.59
Cigna
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$645.65
Typical High
$1,479.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$398.11
Typical High
$758.58
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$295.12
Typical High
$3,311.31
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$416.87
Typical High
$645.65
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$3,162.28
Typical High
$8,511.38
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$407.38
Typical High
$776.25
Health New England
Setting
Facility
Modifier
Global
Typical Low
$2,951.21
Median
$2,951.21
Typical High
$2,951.21
Health New England
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$562.34
Typical High
$562.34
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$3,630.78
Typical High
$28,840.32
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$389.05
Typical High
$2,187.76
United
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$2,818.38
Typical High
$6,918.31
United
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$436.52
Typical High
$812.83

Where Massachusetts 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.

Massachusetts· 16th of 51

$347

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.