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Removal Of A Salivary Gland Stone Through The Mouth

Ohio 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?

$219

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $219 for this service. The price depends on where it is billed: about $214 from a physician practice, and about $2,630 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 8 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$214$166 to $257
FacilityA hospital or hospital-owned outpatient department$2,630$776 to $4,786

How much rates vary

Facilitymedian $2,630 · 10th to 90th $282 to $10,233Professionalmedian $214 · 10th to 90th $148 to $339
$10.0$100.0$1.0K$10.0Kfacility $2,630professional $214

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
$245.47
Median
$2,630.27
Typical High
$10,715.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$218.78
Typical High
$338.84
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$2,691.53
Typical High
$7,943.28
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$194.98
Typical High
$316.23
CareSource
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$177.83
Typical High
$204.17
CareSource
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$194.98
Cigna
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$263.03
Typical High
$575.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$257.04
Typical High
$457.09
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$281.84
Typical High
$575.44
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$263.03
Typical High
$446.68
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$85.11
SummaCare
Setting
Facility
Modifier
Global
Typical Low
$5,128.61
Median
$5,128.61
Typical High
$5,128.61
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$234.42
Typical High
$416.87
United
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$2,570.40
Typical High
$6,025.60
United
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$223.87
Typical High
$371.54

Where Ohio 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.

Ohio $219 · 47th 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.