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Salivary Gland Biopsy

Oregon 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?

$468

Typical negotiated rate. In Oregon, July 2026.

Insurers have agreed to pay about $468 for this service. The price depends on where it is billed: about $468 from a physician practice, and about $490 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 8 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$468$324 to $617
FacilityA hospital or hospital-owned outpatient department$490$339 to $603

How much rates vary

Facilitymedian $490 · 10th to 90th $257 to $759Professionalmedian $468 · 10th to 90th $240 to $794
$100$200$500$1K$2K$5Kfacility $490professional $468

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
$575.44
Median
$794.33
Typical High
$8,709.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$316.23
Typical High
$977.24
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$1,122.02
Typical High
$2,290.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$478.63
Typical High
$758.58
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$512.86
Typical High
$741.31
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$363.08
Typical High
$630.96
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$501.19
Typical High
$741.31
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$575.44
Typical High
$616.60
Providence
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$363.08
Typical High
$630.96
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$549.54
Typical High
$776.25
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$3,801.89
Median
$5,248.07
Typical High
$6,918.31
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$588.84
Typical High
$812.83
United
Setting
Facility
Modifier
Global
Typical Low
$1,548.82
Median
$4,677.35
Typical High
$7,244.36
United
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$501.19
Typical High
$776.25

Where Oregon 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.

Oregon· 3rd of 51

$468

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.