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Abscess Drainage, Submandibular Gland

New York 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 $3,090 · 10th–90th $275$7,4130%5%10th90th$3,090Professionalmedian $269 · 10th–90th $178$6760%5%10%10th90th$269$100.0$500.0$2.0K$10.0K$50.0K

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
$2,630.27
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$245.47
Typical High
$446.68
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$3,630.78
Typical High
$5,011.87
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$213.80
Typical High
$512.86
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$1,258.93
Typical High
$4,073.80
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$371.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$281.84
Typical High
$1,318.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$331.13
Typical High
$776.25
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$245.47
Typical High
$630.96
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$398.11
Typical High
$588.84
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$239.88
Typical High
$239.88
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$338.84
Typical High
$549.54
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$398.11
Typical High
$691.83
United
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$2,344.23
Typical High
$4,897.79
United
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$389.05
Typical High
$1,148.15
Univera
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$218.78
Typical High
$724.44
Univera
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$316.23
Typical High
$549.54