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Complicated Removal of Submandibular Salivary Stone

Tennessee 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?

$3,028

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

Insurers have agreed to pay about $3,028 for this procedure. That total is two separate charges: $398 to the doctor who performs it, and $2,630 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$398$288 to $490
Facility feeThe hospital or surgery center$2,630$1,820 to $4,074

How much rates vary

Facilitymedian $2,630 · 10th to 90th $708 to $6,026Professionalmedian $398 · 10th to 90th $257 to $741
$200.0$500.0$1.0K$2.0K$5.0K$10.0K$20.0Kfacility $2,630professional $398

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
$707.95
Median
$2,398.83
Typical High
$6,456.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$389.05
Typical High
$676.08
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$229.09
Typical High
$229.09
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$3,981.07
Typical High
$5,888.44
BCBS
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$467.74
Typical High
$794.33
Cigna
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$524.81
Typical High
$660.69
Cigna
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$407.38
Typical High
$691.83
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$1,995.26
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$3,090.30
Median
$3,630.78
Typical High
$3,630.78
United
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$3,311.31
Typical High
$6,025.60
United
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$389.05
Typical High
$660.69

Where Tennessee 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 feeTennessee $3,028 · 25th 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.