go back

Salivary Gland Biopsy

New Jersey 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.

Facilitymedian $5,888 · 10th–90th $525$10,4710%10%10th90th$5,888Professionalmedian $302 · 10th–90th $209$6460%10%10th90th$302$100.0$500.0$2.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$5,888.44
Typical High
$10,471.29
Aetna
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$288.40
Typical High
$630.96
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$346.74
Typical High
$346.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$346.74
Typical High
$707.95
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$436.52
Typical High
$630.96
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,235.94
Median
$4,786.30
Typical High
$7,585.78
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$323.59
Typical High
$645.65
United
Setting
Facility
Modifier
Global
Typical Low
$1,778.28
Median
$4,897.79
Typical High
$8,511.38
United
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$295.12
Typical High
$602.56