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Salivary Gland Biopsy

Wisconsin 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 $3,467 · 10th–90th $257$6,0260%5%10%10th90th$3,467Professionalmedian $380 · 10th–90th $224$1,1750%10%10th90th$380$50.0$200.0$1.0K$5.0K

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
$338.84
Median
$3,388.44
Typical High
$3,548.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$302.00
Typical High
$1,047.13
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$4,677.35
Typical High
$7,079.46
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$512.86
Typical High
$1,380.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$954.99
Typical High
$1,513.56
Cigna
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$524.81
Typical High
$1,288.25
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$309.03
Typical High
$3,311.31
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$602.56
Typical High
$891.25
Medica
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$316.23
Typical High
$3,801.89
Medica
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$660.69
Typical High
$2,290.87
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$302.00
Network Health
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$3,890.45
Typical High
$4,786.30
Network Health
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$645.65
Typical High
$1,000.00
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$295.12
Typical High
$512.86
Quartz
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$602.56
Typical High
$1,023.29
Quartz
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$3,715.35
Typical High
$3,715.35
Quartz
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$645.65
Typical High
$2,187.76
Security Health
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$831.76
Typical High
$1,122.02
Security Health
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$1,122.02
Typical High
$1,548.82
United
Setting
Facility
Modifier
Global
Typical Low
$2,754.23
Median
$3,630.78
Typical High
$6,025.60
United
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$389.05
Typical High
$1,071.52