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Complicated Removal of Submandibular Salivary Stone

Rhode Island 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?

$3,928

Typical total for the visit. In Rhode Island, July 2026.

Insurers have agreed to pay about $3,928 for this procedure. That total is two separate charges: $380 to the doctor who performs it, and $3,548 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 4 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$380$331 to $479
Facility feeThe hospital or surgery center$3,548$2,570 to $4,786

How much rates vary

Facilitymedian $3,548 · 10th to 90th $676 to $7,413Professionalmedian $380 · 10th to 90th $263 to $562
$500$1K$2K$5K$10Kfacility $3,548professional $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
$2,398.83
Median
$3,235.94
Typical High
$3,981.07
Aetna
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$380.19
Typical High
$512.86
BCBS
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$489.78
Typical High
$724.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$537.03
Typical High
$676.08
Cigna
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$478.63
Typical High
$933.25
United
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$3,890.45
Typical High
$7,413.10
United
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$389.05
Typical High
$660.69

Where Rhode Island 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

Rhode Island· 17th of 50

$3,928

$380 physician + $3,548 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.