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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.

Rates data updated July 2026.

How much does Salivary Gland Biopsy cost?

$309

Typical negotiated rate. In South Carolina, July 2026.

Insurers have agreed to pay about $309 for this service. The price depends on where it is billed: about $302 from a physician practice, and about $457 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$302$257 to $380
FacilityA hospital or hospital-owned outpatient department$457$324 to $5,129

How much rates vary

Facilitymedian $457 · 10th to 90th $263 to $9,333Professionalmedian $302 · 10th to 90th $224 to $589
$200$500$1K$2K$5K$10K$20Kfacility $457professional $302

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
$269.15
Median
$5,623.41
Typical High
$21,877.62
Aetna
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$302.00
Typical High
$588.84
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$5,128.61
Typical High
$9,772.37
BCBS
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$288.40
Typical High
$436.52
Cigna
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$575.44
Typical High
$870.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$354.81
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
$5,888.44
Typical High
$9,772.37
United
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$295.12
Typical High
$524.81

Where South Carolina 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.

South Carolina· 33rd 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.