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Draining an Abscess Under the Jaw or Tongue

Maine rates for HCPCS 42310

An incision is made inside the mouth to open and drain a pocket of pus in the salivary gland area beneath the jaw or under the tongue. Letting the pus out relieves the swelling and pain and allows antibiotics to work on what remains. Because the opening is made inside the mouth, there is no scar on the face or neck.

Rates data updated July 2026.

How much does Draining an Abscess Under the Jaw or Tongue cost?

$209

Typical physician fee. In Maine, July 2026.

Insurers have agreed to pay about $209 for this service. Most negotiated rates run $162 to $295.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $457 · 10th to 90th $457 to $457Professionalmedian $209 · 10th to 90th $145 to $427
$200$500facility $457professional $209

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$169.82
Typical High
$208.93
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$218.78
Typical High
$363.08
Cigna
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$457.09
Typical High
$457.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$223.87
Typical High
$416.87
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$263.03
Typical High
$478.63
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$173.78
Typical High
$309.03
United
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$229.09
Typical High
$407.38

Where Maine sits

The same service costs 2.2 times more in Minnesota than in West Virginia. 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.

Maine· 15th of 51

$209

MN $347WV $158

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.