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Removal Of A Salivary Gland Stone Through The Mouth

Virginia 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?

$240

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $240 for this service. The price depends on where it is billed: about $234 from a physician practice, and about $295 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$234$186 to $288
FacilityA hospital or hospital-owned outpatient department$295$209 to $1,622

How much rates vary

Facilitymedian $295 · 10th to 90th $178 to $5,248Professionalmedian $234 · 10th to 90th $162 to $389
$200$500$1K$2K$5K$10Kfacility $295professional $234

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
$263.03
Median
$1,995.26
Typical High
$7,079.46
Aetna
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$229.09
Typical High
$338.84
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$3,981.07
Typical High
$4,466.84
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$257.04
Typical High
$407.38
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$181.97
Typical High
$2,818.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$162.18
Typical High
$524.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$251.19
Typical High
$426.58
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$281.84
Typical High
$575.44
Medcost
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$316.23
Typical High
$389.05
Medcost
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$263.03
Typical High
$426.58
Medcost
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$181.97
Typical High
$501.19
Sentara
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$199.53
Typical High
$870.96
Sentara
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$281.84
Typical High
$1,071.52
United
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$2,818.38
Typical High
$5,754.40
United
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$229.09
Typical High
$389.05

Where Virginia 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.

Virginia· 29th of 51

$240

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.