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Complicated Removal of Submandibular Salivary Stone

Ohio 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?

$4,149

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

Insurers have agreed to pay about $4,149 for this procedure. That total is two separate charges: $347 to the doctor who performs it, and $3,802 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 9 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$347$269 to $437
Facility feeThe hospital or surgery center$3,802$1,000 to $7,413

How much rates vary

Facilitymedian $3,802 · 10th to 90th $457 to $10,715Professionalmedian $347 · 10th to 90th $240 to $589
$10.0$100.0$1.0K$10.0Kfacility $3,802professional $347

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
$416.87
Median
$4,168.69
Typical High
$10,964.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$380.19
Typical High
$602.56
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$229.09
Typical High
$229.09
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$2,818.38
Typical High
$7,943.28
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$323.59
Typical High
$524.81
CareSource
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$281.84
Typical High
$363.08
CareSource
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$309.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$416.87
Typical High
$707.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$407.38
Typical High
$794.33
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$446.68
Typical High
$707.95
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$416.87
Typical High
$741.31
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$141.25
SummaCare
Setting
Facility
Modifier
Global
Typical Low
$5,128.61
Median
$5,128.61
Typical High
$5,128.61
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$426.58
Typical High
$645.65
United
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$3,388.44
Typical High
$7,413.10
United
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$371.54
Typical High
$630.96

Where Ohio 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 feeOhio $4,149 · 14th 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.