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Salivary Gland Biopsy

Texas 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.

Facilitymedian $1,000 · 10th–90th $257$5,0120%5%10th90th$1,000Professionalmedian $295 · 10th–90th $219$4570%10%10th90th$295$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
$512.86
Median
$2,754.23
Typical High
$6,918.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$302.00
Typical High
$446.68
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,348.96
Median
$2,398.83
Typical High
$4,570.88
BCBS
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$281.84
Typical High
$380.19
Baylor Scott & White
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$338.84
Typical High
$416.87
Christus
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$295.12
Cigna
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$870.96
Typical High
$2,187.76
Cigna
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$346.74
Typical High
$588.84
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$3,715.35
Median
$28,840.32
Typical High
$28,840.32
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$2,187.76
Median
$2,570.40
Typical High
$2,570.40
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$338.84
Typical High
$588.84
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$371.54
Typical High
$562.34
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$257.04
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$288.40
Typical High
$302.00
Providence
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$338.84
Typical High
$602.56
Providence
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$354.81
Typical High
$602.56
United
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$2,041.74
Typical High
$4,073.80
United
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$288.40
Typical High
$457.09
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$295.12
Typical High
$407.38