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Removal Of A Salivary Gland Stone Through The Mouth

South Dakota 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?

$288

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $288 for this service. The price depends on where it is billed: about $282 from a physician practice, and about $309 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$282$209 to $398
FacilityA hospital or hospital-owned outpatient department$309$219 to $537

How much rates vary

Facilitymedian $309 · 10th to 90th $162 to $2,291Professionalmedian $282 · 10th to 90th $158 to $537
$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0Kfacility $309professional $282

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
$162.18
Median
$2,290.87
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$204.17
Typical High
$295.12
Cigna
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$489.78
Typical High
$691.83
Medica
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$295.12
Typical High
$616.60
Medica
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$398.11
Typical High
$1,737.80
Midlands
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$407.38
Typical High
$524.81
Midlands
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$338.84
Typical High
$478.63
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$323.59
Typical High
$457.09
United
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$6,760.83
United
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$323.59
Typical High
$512.86
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$380.19
Typical High
$602.56

Where South Dakota 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.

South Dakota $288 · 9th 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.