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Removal Of A Salivary Gland Stone Through The Mouth

Tennessee 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?

$234

Typical negotiated rate. In Tennessee, July 2026.

Insurers have agreed to pay about $234 for this service. The price depends on where it is billed: about $229 from a physician practice, and about $2,138 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$229$178 to $282
FacilityA hospital or hospital-owned outpatient department$2,138$1,148 to $2,951

How much rates vary

Facilitymedian $2,138 · 10th to 90th $468 to $4,571Professionalmedian $229 · 10th to 90th $158 to $407
$100$200$500$1K$2K$5Kfacility $2,138professional $229

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
$467.74
Median
$1,819.70
Typical High
$4,073.80
Aetna
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$229.09
Typical High
$346.74
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$245.47
Typical High
$245.47
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$3,981.07
Typical High
$5,888.44
BCBS
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$288.40
Typical High
$478.63
Cigna
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$309.03
Typical High
$645.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$245.47
Typical High
$416.87
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$2,951.21
Typical High
$2,951.21
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$1,949.84
Typical High
$1,949.84
United
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$2,137.96
Typical High
$3,715.35
United
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$234.42
Typical High
$407.38

Where Tennessee sits

The same service costs 2.1 times more in Minnesota than in Kentucky. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Tennessee· 36th of 51

$234

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.