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Abscess Drainage, Submandibular Gland

Vermont 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.

How much does Abscess Drainage, Submandibular Gland cost?

$257

Typical physician fee. In Vermont, July 2026.

Insurers have agreed to pay about $257 for this service. Most negotiated rates run $195 to $275.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $257 · 10th to 90th $186 to $302
$200$500professional $257

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
Professional
Modifier
Global
Typical Low
$177.83
Median
$239.88
Typical High
$295.12
Cigna
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$263.03
Typical High
$398.11
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$363.08
Typical High
$660.69
United
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$309.03
Typical High
$549.54

Where Vermont sits

The same service costs 2.1 times more in Minnesota than in Kentucky. 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.

Vermont· 32nd of 51

$257

MN $490KY $229

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.