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Complicated Removal of Submandibular Salivary Stone

Michigan 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?

$4,454

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

Insurers have agreed to pay about $4,454 for this procedure. That total is two separate charges: $380 to the doctor who performs it, and $4,074 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$380$282 to $479
Facility feeThe hospital or surgery center$4,074$3,388 to $4,898

How much rates vary

Facilitymedian $4,074 · 10th to 90th $427 to $6,918Professionalmedian $380 · 10th to 90th $251 to $550
$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0Kfacility $4,074professional $380

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
$4,073.80
Typical High
$6,918.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$363.08
Typical High
$537.03
BCBS
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$549.54
Typical High
$549.54
BCBS
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$549.54
Typical High
$707.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$398.11
Typical High
$831.76
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$1,096.48
Typical High
$4,897.79
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$426.58
Typical High
$630.96
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$1,071.52
Typical High
$1,819.70
United
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$4,570.88
Typical High
$9,332.54
United
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$398.11
Typical High
$630.96

Where Michigan sits

The same service costs 11.0 times more in Indiana than in West Virginia. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Physician feeFacility feeMichigan $4,454 · 12th of 50
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.