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Draining an Abscess Under the Jaw or Tongue

New Jersey 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?

$178

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $178 for this service. The price depends on where it is billed: about $174 from a physician practice, and about $4,898 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 5 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$174$138 to $224
FacilityA hospital or hospital-owned outpatient department$4,898$3,311 to $7,079

How much rates vary

Facilitymedian $4,898 · 10th to 90th $309 to $10,471Professionalmedian $174 · 10th to 90th $115 to $355
$100$200$500$1K$2K$5K$10Kfacility $4,898professional $174

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
$239.88
Median
$5,888.44
Typical High
$10,715.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$158.49
Typical High
$302.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$199.53
Typical High
$446.68
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$251.19
Typical High
$380.19
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$1,584.89
Typical High
$2,398.83
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$190.55
Typical High
$371.54
United
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$2,691.53
Typical High
$6,760.83
United
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$169.82
Typical High
$338.84

Where New Jersey 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.

New Jersey· 29th of 51

$178

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.