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Marsupialization Of A Sublingual Salivary Cyst

Oregon rates for HCPCS 42409

This procedure treats a fluid-filled cyst under the tongue, called a ranula, that forms when a salivary gland duct is blocked. Instead of removing the cyst entirely, the surgeon opens it and stitches the edges of the lining to the surrounding tissue so it stays open and drains, which lowers the chance of it coming back compared to simple drainage alone.

Rates data updated July 2026.

How much does Marsupialization Of A Sublingual Salivary Cyst cost?

$1,062

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

Insurers have agreed to pay about $1,062 for this procedure. That total is two separate charges: $525 to the doctor who performs it, and $537 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$525$380 to $724
Facility feeThe hospital or surgery center$537$372 to $724

How much rates vary

Facilitymedian $537 · 10th to 90th $257 to $955Professionalmedian $525 · 10th to 90th $245 to $1,000
$100$200$500$1K$2K$5K$10Kfacility $537professional $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
$588.84
Median
$1,047.13
Typical High
$17,378.01
Aetna
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$398.11
Typical High
$1,148.15
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$1,659.59
Typical High
$2,398.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$524.81
Typical High
$933.25
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$588.84
Typical High
$933.25
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$416.87
Typical High
$724.44
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$562.34
Typical High
$933.25
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$691.83
Typical High
$776.25
Providence
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$407.38
Typical High
$776.25
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$588.84
Typical High
$1,000.00
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$7,413.10
Median
$10,471.29
Typical High
$12,882.50
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$645.65
Typical High
$1,047.13
United
Setting
Facility
Modifier
Global
Typical Low
$1,621.81
Median
$9,120.11
Typical High
$12,022.64
United
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$549.54
Typical High
$912.01

Where Oregon sits

The same service costs 10.8 times more in New Jersey 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

Oregon· 42nd of 50

$1,062

$525 physician + $537 facility

NJ $7,273WV $675

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.