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Salivary Gland Biopsy

Washington 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 $589 · 10th–90th $309$8,3180%10%10th90th$589Professionalmedian $347 · 10th–90th $224$7760%10%20%10th90th$347$20.0$100.0$500.0$2.0K$10.0K

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
$436.52
Median
$812.83
Typical High
$17,782.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$316.23
Typical High
$831.76
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$562.34
Typical High
$562.34
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$3,311.31
Median
$4,265.80
Typical High
$8,317.64
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$478.63
Typical High
$707.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$758.58
Typical High
$1,862.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$426.58
Typical High
$812.83
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$489.78
Typical High
$1,380.38
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$446.68
Typical High
$776.25
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$147.91
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$575.44
Typical High
$616.60
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$416.87
Typical High
$954.99
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$457.09
Typical High
$758.58
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$3,162.28
Median
$4,265.80
Typical High
$8,317.64
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$489.78
Typical High
$707.95
United
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$4,466.84
Typical High
$8,709.64
United
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$389.05
Typical High
$660.69
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$316.23
Typical High
$446.68