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Complicated Removal of Submandibular Salivary Stone

South 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?

$951

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

Insurers have agreed to pay about $951 for this procedure. That total is two separate charges: $389 to the doctor who performs it, and $562 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$389$288 to $490
Facility feeThe hospital or surgery center$562$389 to $5,129

How much rates vary

Facilitymedian $562 · 10th to 90th $309 to $13,183Professionalmedian $389 · 10th to 90th $257 to $631
$200$500$1K$2K$5K$10K$20Kfacility $562professional $389

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
$309.03
Median
$9,772.37
Typical High
$21,877.62
Aetna
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$398.11
Typical High
$630.96
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,290.87
Median
$5,011.87
Typical High
$7,585.78
BCBS
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$354.81
Typical High
$537.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$478.63
Typical High
$588.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$426.58
Typical High
$831.76
Medcost
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$416.87
Typical High
$512.86
Medcost
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$426.58
Typical High
$724.44
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$10,232.93
Typical High
$16,595.87
United
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$371.54
Typical High
$616.60

Where South Carolina 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

South Carolina· 44th of 50

$951

$389 physician + $562 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.