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Salivary Gland Biopsy

Michigan 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?

$302

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $302 for this service. The price depends on where it is billed: about $295 from a physician practice, and about $2,884 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 6 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$295$245 to $347
FacilityA hospital or hospital-owned outpatient department$2,884$407 to $4,074

How much rates vary

Facilitymedian $2,884 · 10th to 90th $302 to $4,898Professionalmedian $295 · 10th to 90th $219 to $447
$200$500$1K$2K$5K$10Kfacility $2,884professional $295

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
$2,884.03
Typical High
$4,897.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$288.40
Typical High
$426.58
BCBS
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$194.98
Typical High
$194.98
BCBS
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$309.03
Typical High
$489.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$316.23
Typical High
$602.56
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$812.83
Typical High
$4,897.79
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$309.03
Typical High
$512.86
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$954.99
Typical High
$1,412.54
United
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$2,570.40
Typical High
$6,025.60
United
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$323.59
Typical High
$489.78

Where Michigan 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.

Michigan· 38th of 51

$302

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.