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Salivary Gland Biopsy

Rhode Island 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 Rhode Island, July 2026.

Insurers have agreed to pay about $309 for this service. The price depends on where it is billed: about $309 from a physician practice, and about $2,754 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 4 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$309$282 to $380
FacilityA hospital or hospital-owned outpatient department$2,754$1,862 to $4,074

How much rates vary

Facilitymedian $2,754 · 10th to 90th $832 to $5,012Professionalmedian $309 · 10th to 90th $229 to $437
$200$500$1K$2K$5Kfacility $2,754professional $309

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
$2,089.30
Median
$2,754.23
Typical High
$3,981.07
Aetna
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$295.12
Typical High
$380.19
BCBS
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$346.74
Typical High
$575.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$588.84
Typical High
$1,230.27
Cigna
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$407.38
Typical High
$660.69
United
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$3,467.37
Typical High
$5,495.41
United
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$316.23
Typical High
$512.86

Where Rhode Island 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.

Rhode Island· 31st 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.