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Complicated Removal of Submandibular Salivary Stone

North Carolina 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?

$948

Typical total for the visit. In North Carolina, July 2026.

Insurers have agreed to pay about $948 for this procedure. That total is two separate charges: $501 to the doctor who performs it, and $447 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$501$363 to $724
Facility feeThe hospital or surgery center$447$339 to $692

How much rates vary

Facilitymedian $447 · 10th to 90th $257 to $1,413Professionalmedian $501 · 10th to 90th $275 to $1,000
$1.0$10.0$100.0$1.0K$10.0Kfacility $447professional $501

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
$363.08
Median
$1,000.00
Typical High
$8,317.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$426.58
Typical High
$812.83
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$398.11
BCBS
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$616.60
Typical High
$1,023.29
Cigna
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$489.78
Typical High
$602.56
Cigna
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$436.52
Typical High
$812.83
Medcost
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$512.86
Typical High
$512.86
Medcost
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$426.58
Typical High
$676.08
Medcost
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$1,047.13
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$309.03
Typical High
$323.59
United
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$4,265.80
Typical High
$10,232.93
United
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$354.81
Typical High
$630.96
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$1,995.26
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$3,090.30
Median
$3,090.30
Typical High
$3,630.78

Where North Carolina 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 feeNorth Carolina $948 · 45th 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.