go back

Abscess Drainage, Submandibular Gland

South Dakota 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 $331 · 10th–90th $174$2,2910%5%10th90th$331Professionalmedian $331 · 10th–90th $170$6170%5%10%10th90th$331$100.0$200.0$500.0$1.0K$2.0K

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
$173.78
Median
$2,290.87
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$229.09
Typical High
$316.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$524.81
Typical High
$758.58
Medica
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$316.23
Typical High
$645.65
Medica
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$426.58
Typical High
$2,398.83
Midlands
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$446.68
Typical High
$575.44
Midlands
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$363.08
Typical High
$524.81
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$354.81
Typical High
$501.19
United
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$812.83
Typical High
$812.83
United
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$346.74
Typical High
$575.44
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$416.87
Typical High
$660.69