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Salivary Gland Biopsy

Utah 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?

$324

Typical negotiated rate. In Utah, July 2026.

Insurers have agreed to pay about $324 for this service. The price depends on where it is billed: about $316 from a physician practice, and about $3,388 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$316$257 to $457
FacilityA hospital or hospital-owned outpatient department$3,388$2,138 to $4,467

How much rates vary

Facilitymedian $3,388 · 10th to 90th $302 to $4,898Professionalmedian $316 · 10th to 90th $219 to $676
$200$500$1K$2K$5Kfacility $3,388professional $316

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
$302.00
Median
$3,388.44
Typical High
$4,897.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$316.23
Typical High
$676.08
Cigna
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$354.81
Typical High
$575.44
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$616.60
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$2,951.21
Typical High
$4,466.84
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$436.52
Typical High
$575.44
Select Health
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$602.56
Typical High
$602.56
Select Health
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$407.38
Typical High
$602.56
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$398.11
Typical High
$549.54
United
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$3,162.28
Typical High
$5,128.61
United
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$302.00
Typical High
$501.19

Where Utah 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.

Utah· 22nd of 51

$324

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.