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Salivary Gland Biopsy

New Hampshire 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?

$372

Typical negotiated rate. In New Hampshire, July 2026.

Insurers have agreed to pay about $372 for this service. The price depends on where it is billed: about $363 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$363$282 to $501
FacilityA hospital or hospital-owned outpatient department$1,698$871 to $3,020

How much rates vary

Facilitymedian $1,698 · 10th to 90th $100 to $8,710Professionalmedian $363 · 10th to 90th $240 to $646
$100$200$500$1K$2K$5K$10Kfacility $1,698professional $363

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
$562.34
Median
$1,071.52
Typical High
$9,772.37
Aetna
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$295.12
Typical High
$380.19
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$1,737.80
Typical High
$3,019.95
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$354.81
Typical High
$562.34
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$1,819.70
Typical High
$1,819.70
Cigna
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$416.87
Typical High
$691.83
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$3,890.45
Typical High
$8,709.64
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$416.87
Typical High
$724.44
United
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$3,890.45
Typical High
$8,709.64
United
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$426.58
Typical High
$812.83
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$48.98
Median
$56.23
Typical High
$380.19

Where New Hampshire 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.

New Hampshire· 10th of 51

$372

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.