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Salivary Gland Biopsy

South Dakota 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?

$380

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $380 for this service. The price depends on where it is billed: about $380 from a physician practice, and about $417 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 7 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$380$288 to $525
FacilityA hospital or hospital-owned outpatient department$417$275 to $661

How much rates vary

Facilitymedian $417 · 10th to 90th $224 to $3,090Professionalmedian $380 · 10th to 90th $214 to $692
$200.0$500.0$1.0K$2.0Kfacility $417professional $380

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
$223.87
Median
$3,090.30
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$263.03
Typical High
$389.05
Cigna
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$630.96
Typical High
$891.25
Medica
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$389.05
Typical High
$776.25
Medica
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$524.81
Typical High
$2,290.87
Midlands
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$562.34
Typical High
$691.83
Midlands
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$616.60
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$446.68
Typical High
$588.84
United
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$3,162.28
United
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$416.87
Typical High
$707.95
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$512.86
Typical High
$776.25

Where South Dakota sits

The same service costs 2.1 times more in Minnesota than in Kentucky. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

South Dakota $380 · 9th of 51
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.