Complex Repair Of A Salivary Duct

Nationwide rates for HCPCS 42505

Rebuilds or reroutes the duct that carries saliva from a salivary gland into the mouth when it is blocked, scarred or injured. This is the more involved version, used when the damage is complicated or an earlier repair has not worked. The aim is to restore a clear path for saliva so the gland stops swelling.

Rates data updated July 2026.

How much does Complex Repair Of A Salivary Duct cost?

$4,877

Typical total for the visit. Nationwide, July 2026.

Insurers have agreed to pay about $4,877 for this procedure. That total is two separate charges: $708 to the doctor who performs it, and $4,169 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

15% physician fee85% 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 57 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	$708	$550 to $1,023
Facility feeThe hospital or surgery center	The hospital or surgery center	$4,169	$912 to $8,511

How much rates vary

Facilitymedian $4,169 · 10th to 90th $575 to $13,804Professionalmedian $708 · 10th to 90th $437 to $1,950

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 $630.96 Median $4,265.80 Typical High $11,481.54	Facility	Global	$630.96	$4,265.80	$11,481.54
BCBS Setting Facility Modifier Global Typical Low $3,162.28 Median $8,709.64 Typical High $17,782.79	Facility	Global	$3,162.28	$8,709.64	$17,782.79
Cigna Setting Facility Modifier Global Typical Low $707.95 Median $1,995.26 Typical High $5,370.32	Facility	Global	$707.95	$1,995.26	$5,370.32
United Setting Facility Modifier Global Typical Low $1,698.24 Median $6,309.57 Typical High $15,488.17	Facility	Global	$1,698.24	$6,309.57	$15,488.17

What it costs in each state

The same service costs 6.4 times more in Wisconsin than in 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

Touch or drag across the chart to see any state's rate.

WI $9,493VA $1,484

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.