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Complicated Removal of Submandibular Salivary Stone

Illinois 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?

$2,279

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

Insurers have agreed to pay about $2,279 for this procedure. That total is two separate charges: $417 to the doctor who performs it, and $1,862 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 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$417$295 to $537
Facility feeThe hospital or surgery center$1,862$813 to $4,677

How much rates vary

Facilitymedian $1,862 · 10th to 90th $437 to $6,607Professionalmedian $417 · 10th to 90th $257 to $759
$200$500$1K$2K$5K$10K$20Kfacility $1,862professional $417

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
$436.52
Median
$1,778.28
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$398.11
Typical High
$724.44
BCBS
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$4,265.80
Typical High
$5,754.40
BCBS
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$436.52
Typical High
$758.58
Cigna
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$501.19
Typical High
$588.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$426.58
Typical High
$776.25
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$630.96
Typical High
$1,318.26
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$331.13
Typical High
$575.44
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$575.44
United
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$3,388.44
Typical High
$7,585.78
United
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$407.38
Typical High
$724.44

Where Illinois 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

Illinois· 30th of 50

$2,279

$417 physician + $1,862 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.