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Complicated Removal of Submandibular Salivary Stone

Idaho 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?

$1,012

Typical total for the visit. In Idaho, July 2026.

Insurers have agreed to pay about $1,012 for this procedure. That total is two separate charges: $437 to the doctor who performs it, and $575 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$437$347 to $676
Facility feeThe hospital or surgery center$575$398 to $1,230

How much rates vary

Facilitymedian $575 · 10th to 90th $309 to $6,166Professionalmedian $437 · 10th to 90th $269 to $832
$500$1K$2K$5K$10Kfacility $575professional $437

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
$2,884.03
Median
$4,466.84
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$407.38
Typical High
$776.25
BCBS
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$3,090.30
Typical High
$8,317.64
BCBS
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$575.44
Typical High
$851.14
Cigna
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$446.68
Typical High
$724.44
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$478.63
Typical High
$954.99
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$524.81
Typical High
$851.14
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$398.11
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$5,248.07
Median
$7,244.36
Typical High
$10,471.29
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$616.60
Typical High
$870.96
Select Health
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$3,548.13
Typical High
$5,754.40
Select Health
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$398.11
Typical High
$501.19
United
Setting
Facility
Modifier
Global
Typical Low
$5,495.41
Median
$12,302.69
Typical High
$12,302.69
United
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$446.68
Typical High
$741.31

Where Idaho sits

The same service costs 11.0 times more in Indiana than in West Virginia. 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.

Physician feeFacility fee

Idaho· 43rd of 50

$1,012

$437 physician + $575 facility

IN $8,109WV $739

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.