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Complicated Removal of Submandibular Salivary Stone

South Dakota 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?

$1,074

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

Insurers have agreed to pay about $1,074 for this procedure. That total is two separate charges: $525 to the doctor who performs it, and $550 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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$525$380 to $724
Facility feeThe hospital or surgery center$550$372 to $933

How much rates vary

Facilitymedian $550 · 10th to 90th $257 to $3,548Professionalmedian $525 · 10th to 90th $251 to $1,023
$200$500$1K$2K$5Kfacility $550professional $525

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
$257.04
Median
$3,548.13
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$380.19
Typical High
$537.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$776.25
Typical High
$1,288.25
Medica
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$489.78
Typical High
$977.24
Medica
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$660.69
Typical High
$3,235.94
Midlands
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$660.69
Typical High
$933.25
Midlands
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$537.03
Typical High
$831.76
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$537.03
Typical High
$831.76
United
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$2,691.53
Typical High
$6,760.83
United
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$512.86
Typical High
$933.25
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$616.60
Typical High
$1,096.48

Where South Dakota 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 Dakota· 42nd of 50

$1,074

$525 physician + $550 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.