go back

Salivary Gland Biopsy

North Dakota 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?

$427

Typical negotiated rate. In North Dakota, July 2026.

Insurers have agreed to pay about $427 for this service. The price depends on where it is billed: about $447 from a physician practice, and about $302 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 5 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$447$288 to $589
FacilityA hospital or hospital-owned outpatient department$302$224 to $447

How much rates vary

Facilitymedian $302 · 10th to 90th $214 to $2,512Professionalmedian $447 · 10th to 90th $219 to $708
$200$500$1K$2K$5Kfacility $302professional $447

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
$213.80
Median
$295.12
Typical High
$2,511.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$288.40
Typical High
$512.86
BCBS
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$588.84
Typical High
$776.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$524.81
Typical High
$812.83
Medica
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$380.19
Typical High
$676.08
Medica
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$512.86
Typical High
$2,290.87
United
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$2,398.83
Typical High
$3,388.44
United
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$389.05
Typical High
$616.60

Where North Dakota 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.

North Dakota· 4th of 51

$427

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.