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Removal Of A Salivary Gland Stone Through The Mouth

Illinois 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?

$245

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $245 for this service. The price depends on where it is billed: about $240 from a physician practice, and about $1,380 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 6 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$240$186 to $309
FacilityA hospital or hospital-owned outpatient department$1,380$437 to $3,236

How much rates vary

Facilitymedian $1,380 · 10th to 90th $234 to $5,623Professionalmedian $240 · 10th to 90th $162 to $427
$50.0$200.0$1.0K$5.0Kfacility $1,380professional $240

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
$234.42
Median
$1,258.93
Typical High
$5,623.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$229.09
Typical High
$407.38
BCBS
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$4,168.69
Typical High
$5,623.41
BCBS
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$275.42
Typical High
$426.58
Cigna
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$281.84
Typical High
$588.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$263.03
Typical High
$457.09
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$346.74
Typical High
$831.76
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$208.93
Typical High
$316.23
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$316.23
United
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$2,818.38
Typical High
$5,128.61
United
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$251.19
Typical High
$426.58

Where Illinois 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.

Illinois $245 · 23rd 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.