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Removal Of A Salivary Gland Stone Through The Mouth

Texas 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 Texas, 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 $407 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 12 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 $263
FacilityA hospital or hospital-owned outpatient department$407$229 to $2,188

How much rates vary

Facilitymedian $407 · 10th to 90th $162 to $4,169Professionalmedian $229 · 10th to 90th $158 to $355
$50.0$200.0$1.0K$5.0Kfacility $407professional $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
$346.74
Median
$2,238.72
Typical High
$6,918.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$229.09
Typical High
$338.84
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$245.47
Typical High
$245.47
BCBS
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$213.80
Typical High
$891.25
BCBS
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$213.80
Typical High
$346.74
Christus
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$147.91
Typical High
$229.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$218.78
Typical High
$2,691.53
Cigna
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$263.03
Typical High
$457.09
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$56.23
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
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$257.04
Typical High
$457.09
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$281.84
Typical High
$446.68
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$199.53
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$218.78
Providence
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$257.04
Typical High
$457.09
Providence
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$269.15
Typical High
$478.63
United
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$2,187.76
Typical High
$4,570.88
United
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$218.78
Typical High
$354.81
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$229.09
Typical High
$316.23

Where Texas 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.

Texas $234 · 35th 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.