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Complicated Removal of Submandibular Salivary Stone

Washington, DC rates for HCPCS 42335

A procedure done through the mouth to remove a stone blocking the submandibular gland, a saliva-producing gland beneath the jaw. This is the complicated version of the procedure, reflecting a more difficult removal.

Rates data updated July 2026.

How much does Complicated Removal of Submandibular Salivary Stone cost?

$380

Typical physician fee. In Washington, DC, July 2026.

Insurers have agreed to pay about $380 for this service. Most negotiated rates run $288 to $501.

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.

How much rates vary

Facilitymedian $2,138 · 10th to 90th $537 to $7,762Professionalmedian $324 · 10th to 90th $251 to $537
$200$500$1K$2K$5K$10K$20Kfacility $2,138professional $324

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
$537.03
Median
$2,137.96
Typical High
$6,456.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$316.23
Typical High
$537.03
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$281.84
Typical High
$3,235.94
Cigna
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$398.11
Typical High
$1,122.02
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$489.78
Typical High
$812.83
United
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$6,760.83
Typical High
$26,302.68
United
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$389.05
Typical High
$851.14

Where Washington, DC sits

The same service costs 2.4 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.

Washington, DC· 43rd of 51

$380

MN $759KY $316

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.