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Salivary Gland Biopsy

South Carolina 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.

Facilitymedian $513 · 10th–90th $269$8,7100%5%10%10th90th$513Professionalmedian $302 · 10th–90th $219$5750%10%10th90th$302$50.0$200.0$1.0K$5.0K$20.0K

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
$363.08
Median
$6,025.60
Typical High
$16,595.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$302.00
Typical High
$575.44
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$194.98
Typical High
$501.19
BCBS
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$4,365.16
Typical High
$9,120.11
BCBS
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$288.40
Typical High
$389.05
Cigna
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$575.44
Typical High
$870.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$346.74
Typical High
$645.65
Medcost
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$436.52
Typical High
$457.09
Medcost
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$354.81
Typical High
$575.44
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$4,897.79
Typical High
$9,772.37
United
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$295.12
Typical High
$512.86