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Draining an Abscess Under the Jaw or Tongue

Nebraska 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?

$191

Typical negotiated rate. In Nebraska, July 2026.

Insurers have agreed to pay about $191 for this service. The price depends on where it is billed: about $186 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 6 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$186$145 to $288
FacilityA hospital or hospital-owned outpatient department$3,388$282 to $7,943

How much rates vary

Facilitymedian $3,388 · 10th to 90th $178 to $13,490Professionalmedian $186 · 10th to 90th $126 to $468
$200$500$1K$2K$5K$10K$20Kfacility $3,388professional $186

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
$2,187.76
Median
$6,025.60
Typical High
$14,454.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$177.83
Typical High
$501.19
BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,888.44
Median
$7,762.47
Typical High
$15,135.61
BCBS
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$234.42
Typical High
$323.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$323.59
Typical High
$537.03
Medica
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$213.80
Typical High
$398.11
Medica
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$363.08
Typical High
$1,288.25
Midlands
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$407.38
Typical High
$512.86
Midlands
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$323.59
Typical High
$416.87
United
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$812.83
Typical High
$3,801.89
United
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$251.19
Typical High
$416.87

Where Nebraska 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.

Nebraska· 20th of 51

$191

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.