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Removal Of A Salivary Gland Stone Through The Mouth

North Carolina 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?

$302

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $302 for this service. The price depends on where it is billed: about $302 from a physician practice, and about $269 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$302$229 to $427
FacilityA hospital or hospital-owned outpatient department$269$204 to $437

How much rates vary

Facilitymedian $269 · 10th to 90th $162 to $1,660Professionalmedian $302 · 10th to 90th $170 to $603
$10.0$100.0$1.0K$10.0Kfacility $269professional $302

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
$9.33
Median
$758.58
Typical High
$5,495.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$229.09
Typical High
$501.19
BCBS
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$316.23
Typical High
$676.08
Cigna
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$281.84
Typical High
$602.56
Cigna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$281.84
Typical High
$501.19
Medcost
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$331.13
Typical High
$331.13
Medcost
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$245.47
Typical High
$407.38
Medcost
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$181.97
Typical High
$588.84
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$218.78
United
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$2,398.83
Typical High
$6,760.83
United
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$218.78
Typical High
$380.19
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$2,951.21
Typical High
$2,951.21
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$1,698.24
Typical High
$1,949.84

Where North Carolina 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.

North Carolina $302 · 7th 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.