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Removal Of A Salivary Gland Stone Through The Mouth

Georgia rates for HCPCS 42330

A stone (calculus) blocking a salivary gland duct is removed through the mouth, without any external incision on the skin, relieving the swelling and discomfort the blockage causes, especially around mealtimes. This version applies to a straightforward case.

Rates data updated July 2026.

How much does Removal Of A Salivary Gland Stone Through The Mouth cost?

$257

Typical negotiated rate. In Georgia, July 2026.

Insurers have agreed to pay about $257 for this service. The price depends on where it is billed: about $245 from a physician practice, and about $3,020 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 7 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$245$195 to $331
FacilityA hospital or hospital-owned outpatient department$3,020$1,202 to $4,571

How much rates vary

Facilitymedian $3,020 · 10th to 90th $468 to $7,079Professionalmedian $245 · 10th to 90th $162 to $457
$100.0$1.0K$10.0Kfacility $3,020professional $245

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
Facility
Modifier
Global
Typical Low
$257.04
Median
$3,548.13
Typical High
$9,549.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$234.42
Typical High
$398.11
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$2,570.40
Typical High
$5,888.44
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$316.23
Typical High
$489.78
CareSource
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
Cigna
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$501.19
Typical High
$707.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$269.15
Typical High
$478.63
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$281.84
Typical High
$489.78
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$218.78
Typical High
$218.78
United
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$2,290.87
Typical High
$5,248.07
United
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$245.47
Typical High
$446.68

Where Georgia sits

The same service costs 2.1 times more in Minnesota than in Kentucky. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Georgia $257 · 17th of 51
MN $437KY $204

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.