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Salivary Gland Biopsy

Oklahoma 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?

$309

Typical negotiated rate. In Oklahoma, July 2026.

Insurers have agreed to pay about $309 for this service. The price depends on where it is billed: about $288 from a physician practice, and about $2,884 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$288$234 to $324
FacilityA hospital or hospital-owned outpatient department$2,884$1,000 to $5,129

How much rates vary

Facilitymedian $2,884 · 10th to 90th $324 to $6,918Professionalmedian $288 · 10th to 90th $214 to $437
$200$500$1K$2K$5K$10Kfacility $2,884professional $288

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
$323.59
Median
$1,513.56
Typical High
$6,456.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$281.84
Typical High
$416.87
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,235.94
Median
$5,011.87
Typical High
$8,317.64
BCBS
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$295.12
Typical High
$457.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$316.23
Typical High
$457.09
Medica
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$346.74
Typical High
$2,884.03
Medica
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$363.08
Typical High
$2,290.87
United
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$1,995.26
Typical High
$3,548.13
United
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$288.40
Typical High
$436.52

Where Oklahoma 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.

Oklahoma· 36th of 51

$309

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.