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Salivary Gland Biopsy

Missouri 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?

$331

Typical negotiated rate. In Missouri, July 2026.

Insurers have agreed to pay about $331 for this service. The price depends on where it is billed: about $309 from a physician practice, and about $1,698 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$309$257 to $407
FacilityA hospital or hospital-owned outpatient department$1,698$676 to $3,162

How much rates vary

Facilitymedian $1,698 · 10th to 90th $288 to $5,248Professionalmedian $309 · 10th to 90th $219 to $741
$200$500$1K$2K$5Kfacility $1,698professional $309

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
$281.84
Median
$2,511.89
Typical High
$6,309.57
Aetna
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$302.00
Typical High
$794.33
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$1,778.28
Typical High
$3,981.07
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$316.23
Typical High
$478.63
BCBS
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$323.59
Typical High
$457.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$2,187.76
Typical High
$2,187.76
Cigna
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$331.13
Typical High
$549.54
Medica
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$363.08
Typical High
$1,621.81
Medica
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$524.81
Typical High
$2,290.87
United
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$1,318.26
Typical High
$3,019.95
United
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$323.59
Typical High
$549.54

Where Missouri 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.

Missouri· 19th of 51

$331

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.