go back

Removal Of A Salivary Cyst Under The Tongue

Virginia rates for HCPCS 42408

Removes a fluid-filled swelling that forms under the tongue when a salivary gland duct is damaged or blocked and saliva collects in the surrounding tissue. The whole cyst is taken out through the floor of the mouth, and the gland feeding it may be removed as well so the swelling does not return. It relieves a soft bluish lump that gets in the way of speaking, chewing or swallowing.

Rates data updated July 2026.

How much does Removal Of A Salivary Cyst Under The Tongue cost?

$1,159

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

Insurers have agreed to pay about $1,159 for this procedure. That total is two separate charges: $513 to the doctor who performs it, and $646 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$513$398 to $646
Facility feeThe hospital or surgery center$646$427 to $3,548

How much rates vary

Facilitymedian $646 · 10th to 90th $363 to $7,943Professionalmedian $513 · 10th to 90th $339 to $851
$500$1K$2K$5K$10Kfacility $646professional $513

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
$501.19
Median
$3,630.78
Typical High
$8,912.51
Aetna
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$467.74
Typical High
$676.08
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
$363.08
Median
$575.44
Typical High
$933.25
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$371.54
Typical High
$1,288.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$1,412.54
Typical High
$1,584.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$489.78
Typical High
$851.14
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$691.83
Typical High
$1,122.02
Medcost
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$562.34
Typical High
$724.44
Medcost
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$562.34
Typical High
$912.01
Medcost
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$338.84
Typical High
$851.14
Sentara
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$407.38
Typical High
$1,659.59
Sentara
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$588.84
Typical High
$2,290.87
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
$309.03
Median
$489.78
Typical High
$831.76

Where Virginia sits

The same service costs 8.8 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

$1,159

$513 physician + $646 facility

IN $8,220WV $930

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.