go back

Salivary Gland Biopsy

New Mexico 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?

$302

Typical negotiated rate. In New Mexico, July 2026.

Insurers have agreed to pay about $302 for this service. The price depends on where it is billed: about $295 from a physician practice, and about $398 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$295$240 to $363
FacilityA hospital or hospital-owned outpatient department$398$309 to $776

How much rates vary

Facilitymedian $398 · 10th to 90th $240 to $7,762Professionalmedian $295 · 10th to 90th $219 to $468
$50$200$1K$5Kfacility $398professional $295

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
$316.23
Median
$489.78
Typical High
$5,011.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$288.40
Typical High
$436.52
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$8,912.51
Typical High
$14,125.38
BCBS
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$338.84
Typical High
$436.52
Cigna
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$776.25
Typical High
$776.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$354.81
Typical High
$512.86
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$436.52
Providence
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$338.84
Typical High
$588.84
Providence
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$380.19
Typical High
$616.60
United
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$3,235.94
Typical High
$5,248.07
United
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$354.81
Typical High
$549.54

Where New Mexico 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 Mexico· 41st of 51

$302

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.