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Salivary Gland Biopsy

West Virginia 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 $295 · 10th–90th $224$8,7100%20%10th90th$295Professionalmedian $275 · 10th–90th $209$3800%10%20%10th90th$275$200.0$500.0$1.0K$2.0K$5.0K$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
$223.87
Median
$295.12
Typical High
$8,709.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$269.15
Typical High
$363.08
CareSource
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$239.88
Typical High
$288.40
CareSource
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$257.04
Cigna
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$354.81
Typical High
$354.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$338.84
Typical High
$1,584.89
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,570.40
Median
$7,413.10
Typical High
$18,197.01
United
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$1,230.27
Typical High
$4,365.16
United
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$281.84
Typical High
$467.74