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Abscess Drainage, Submandibular Gland

Michigan rates for HCPCS 42320

Surgical drainage of a pocket of infection (an abscess) that has formed near the submandibular salivary gland, under the jaw. The surgeon reaches the abscess through a small incision in the neck skin rather than from inside the mouth, letting the pus drain and relieving pain and swelling.

Rates data updated July 2026.

Facilitymedian $2,042 · 10th–90th $251$4,8980%20%10th90th$2,042Professionalmedian $245 · 10th–90th $166$3720%10%10th90th$245$50.0$100.0$200.0$500.0$1.0K$2.0K$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
$229.09
Median
$2,041.74
Typical High
$4,897.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$229.09
Typical High
$331.13
BCBS
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$371.54
Typical High
$371.54
BCBS
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$371.54
Typical High
$371.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$257.04
Typical High
$512.86
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$741.31
Typical High
$4,897.79
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$257.04
Typical High
$354.81
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$758.58
Typical High
$1,122.02
United
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$933.25
Typical High
$1,737.80
United
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$269.15
Typical High
$398.11