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Complicated Removal of Submandibular Salivary Stone

Kentucky 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?

$1,167

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

Insurers have agreed to pay about $1,167 for this procedure. That total is two separate charges: $316 to the doctor who performs it, and $851 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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$316$257 to $417
Facility feeThe hospital or surgery center$851$417 to $8,511

How much rates vary

Facilitymedian $851 · 10th to 90th $324 to $10,715Professionalmedian $316 · 10th to 90th $240 to $513
$50$200$1K$5Kfacility $851professional $316

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
$323.59
Median
$616.60
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$338.84
Typical High
$549.54
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$229.09
Typical High
$229.09
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$10,715.19
Typical High
$11,220.18
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$302.00
Typical High
$436.52
CareSource
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$281.84
Typical High
$389.05
CareSource
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$302.00
Typical High
$389.05
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$416.87
Typical High
$416.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$436.52
Typical High
$2,089.30
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$173.78
United
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$2,754.23
Typical High
$6,025.60
United
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$371.54
Typical High
$602.56

Where Kentucky 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

Kentucky· 40th of 50

$1,167

$316 physician + $851 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.