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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 October 2026.

How much does Salivary Gland Biopsy cost?

$347

Typical negotiated rate. In Michigan, October 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.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$339$288 to $389
FacilityA hospital or hospital-owned outpatient department$1,549$575 to $2,138

How much rates vary

Facilitymedian $1,549 · 10th to 90th $380 to $3,162Professionalmedian $339 · 10th to 90th $263 to $457
$100$200$500$1K$2K$5K$10Kfacility $1,549professional $339

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$288.40
Median
$380.19
Typical High
$4,897.79
Aetna
Setting
Professional
Modifier
None
Typical Low
$288.40
Median
$288.40
Typical High
$380.19
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$144.54
Median
$144.54
Typical High
$190.55
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$57.54
Median
$57.54
Typical High
$75.86
Aetna
Setting
Professional
Modifier
54 · Surgery only
Typical Low
$218.78
Median
$218.78
Typical High
$288.40
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$43.65
Median
$43.65
Typical High
$57.54
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$28.84
Median
$28.84
Typical High
$38.02
Aetna
Setting
Professional
Modifier
78 · Unplanned return to OR
Typical Low
$204.17
Median
$204.17
Typical High
$269.15
BCBS Michigan
Setting
Facility
Modifier
None
Typical Low
$1,548.82
Median
$1,584.89
Typical High
$2,754.23
BCBS Michigan
Setting
Professional
Modifier
None
Typical Low
$52.48
Median
$309.03
Typical High
$467.74
Cigna
Setting
Facility
Modifier
None
Typical Low
$549.54
Median
$549.54
Typical High
$549.54
Cigna
Setting
Professional
Modifier
None
Typical Low
$218.78
Median
$309.03
Typical High
$489.78
Health Alliance Plan
Setting
Facility
Modifier
None
Typical Low
$302.00
Median
$1,412.54
Typical High
$4,897.79
Health Alliance Plan
Setting
Professional
Modifier
None
Typical Low
$288.40
Median
$363.08
Typical High
$407.38
Health Alliance Plan
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$144.54
Median
$144.54
Typical High
$190.55
Health Alliance Plan
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$57.54
Median
$57.54
Typical High
$77.62
Health Alliance Plan
Setting
Professional
Modifier
54 · Surgery only
Typical Low
$218.78
Median
$218.78
Typical High
$288.40
Health Alliance Plan
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$43.65
Median
$43.65
Typical High
$57.54
Health Alliance Plan
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$28.84
Median
$28.84
Typical High
$38.90
Health Alliance Plan
Setting
Professional
Modifier
78 · Unplanned return to OR
Typical Low
$204.17
Median
$204.17
Typical High
$269.15
Priority Health
Setting
Facility
Modifier
None
Typical Low
$549.54
Median
$549.54
Typical High
$549.54
Priority Health
Setting
Professional
Modifier
None
Typical Low
$213.80
Median
$302.00
Typical High
$467.74
United
Setting
Facility
Modifier
None
Typical Low
$426.58
Median
$602.56
Typical High
$3,162.28
United
Setting
Professional
Modifier
None
Typical Low
$281.84
Median
$346.74
Typical High
$446.68

Where Michigan sits

The same service costs 4.3 times more in Alaska than in Utah. 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· 22nd of 51

$347

AK $933UT $219

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.