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Abscess Drainage, Submandibular Gland

Wisconsin 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 $2,291 · 10th–90th $209$4,6770%10%10th90th$2,291Professionalmedian $309 · 10th–90th $178$9330%5%10%10th90th$309$50.0$200.0$1.0K$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
$199.53
Median
$371.54
Typical High
$1,905.46
Aetna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$251.19
Typical High
$616.60
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$3,090.30
Typical High
$5,754.40
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$426.58
Typical High
$1,122.02
Cigna
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$812.83
Typical High
$1,288.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$436.52
Typical High
$1,096.48
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$269.15
Typical High
$2,754.23
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$478.63
Typical High
$758.58
Medica
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$275.42
Typical High
$1,380.38
Medica
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$562.34
Typical High
$2,398.83
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$239.88
Network Health
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$891.25
Typical High
$2,344.23
Network Health
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$524.81
Typical High
$776.25
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$245.47
Typical High
$416.87
Quartz
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$512.86
Typical High
$870.96
Quartz
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$1,995.26
Typical High
$1,995.26
Quartz
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$562.34
Typical High
$2,398.83
Security Health
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$977.24
Security Health
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$912.01
Typical High
$1,318.26
United
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$1,479.11
Typical High
$1,949.84
United
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$323.59
Typical High
$851.14