Complete Parotid Gland Removal, Nerve Spared

Nationwide rates for HCPCS 42420

Removes the whole parotid salivary gland, the large gland in front of and below the ear, through an incision in front of the ear and into the upper neck. The facial nerve, which runs through the gland and controls the muscles of facial expression, is carefully traced and preserved during the removal. It is done for tumors that involve the deeper part of the gland.

Rates data updated July 2026.

How much does Complete Parotid Gland Removal, Nerve Spared cost?

$8,005

Typical total for the visit. Nationwide, July 2026.

Insurers have agreed to pay about $8,005 for this procedure. That total is two separate charges: $1,549 to the doctor who performs it, and $6,457 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

19% physician fee81% facility fee

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 58 insurance carriers under federal price transparency rules.

What's inside this number

Part of the bill	Who charges it	Typical	Range
Physician feeThe doctor who performs it	The doctor who performs it	$1,549	$1,122 to $2,399
Facility feeThe hospital or surgery center	The hospital or surgery center	$6,457	$2,455 to $11,482

How much rates vary

Facilitymedian $6,457 · 10th to 90th $1,380 to $16,982Professionalmedian $1,549 · 10th to 90th $977 to $5,012

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	Facility/Professional	Modifier	Typical Low	Median	Typical High
Aetna Setting Facility Modifier Global Typical Low $1,380.38 Median $6,025.60 Typical High $16,218.10	Facility	Global	$1,380.38	$6,025.60	$16,218.10
BCBS Setting Facility Modifier Global Typical Low $3,630.78 Median $10,471.29 Typical High $20,892.96	Facility	Global	$3,630.78	$10,471.29	$20,892.96
Cigna Setting Facility Modifier Global Typical Low $1,096.48 Median $3,162.28 Typical High $7,413.10	Facility	Global	$1,096.48	$3,162.28	$7,413.10
Cigna Setting Facility Modifier 22 · Increased work Typical Low $2,187.76 Median $2,187.76 Typical High $2,187.76	Facility	22 · Increased work	$2,187.76	$2,187.76	$2,187.76
Cigna Setting Facility Modifier AS · PA/NP assist Typical Low $181.97 Median $181.97 Typical High $181.97	Facility	AS · PA/NP assist	$181.97	$181.97	$181.97
United Setting Facility Modifier Global Typical Low $1,862.09 Median $6,309.57 Typical High $15,488.17	Facility	Global	$1,862.09	$6,309.57	$15,488.17

What it costs in each state

The same service costs 3.7 times more in California than in Virginia. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Physician feeFacility fee

CA $12,630VA $3,391

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.