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Removal Of A Salivary Gland Stone Through The Mouth

West 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?

$214

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $214 for this service. The price depends on where it is billed: about $214 from a physician practice, and about $224 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 5 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$162 to $257
FacilityA hospital or hospital-owned outpatient department$224$162 to $263

How much rates vary

Facilitymedian $224 · 10th to 90th $162 to $1,230Professionalmedian $214 · 10th to 90th $151 to $324
$50.0$200.0$1.0K$5.0Kfacility $224professional $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
$162.18
Median
$223.87
Typical High
$1,230.27
Aetna
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$213.80
Typical High
$295.12
CareSource
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$208.93
CareSource
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$186.21
Typical High
$186.21
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$263.03
Typical High
$263.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$257.04
Typical High
$1,174.90
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$7,079.46
Median
$7,079.46
Typical High
$7,079.46
United
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$1,230.27
Typical High
$9,332.54
United
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$208.93
Typical High
$354.81

Where West Virginia 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.

West Virginia $214 · 48th 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.