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Complicated Removal of Submandibular Salivary Stone

Virginia 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?

$886

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

Insurers have agreed to pay about $886 for this procedure. That total is two separate charges: $407 to the doctor who performs it, and $479 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 8 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$407$295 to $513
Facility feeThe hospital or surgery center$479$324 to $3,236

How much rates vary

Facilitymedian $479 · 10th to 90th $275 to $7,079Professionalmedian $407 · 10th to 90th $257 to $692
$200$500$1K$2K$5K$10Kfacility $479professional $407

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
$436.52
Median
$4,168.69
Typical High
$8,912.51
Aetna
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$380.19
Typical High
$537.03
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$3,981.07
Typical High
$4,466.84
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$446.68
Typical High
$741.31
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$281.84
Typical High
$446.68
Cigna
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$309.03
Typical High
$489.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$398.11
Typical High
$676.08
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$512.86
Typical High
$851.14
Medcost
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$416.87
Typical High
$549.54
Medcost
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$436.52
Typical High
$724.44
Medcost
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$645.65
Sentara
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$316.23
Typical High
$1,445.44
Sentara
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$478.63
Typical High
$1,778.28
United
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$5,623.41
Typical High
$13,182.57
United
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$380.19
Typical High
$645.65

Where Virginia 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

Virginia· 49th of 50

$886

$407 physician + $479 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.