Saliva Duct Rerouting With One Gland Removed

Nationwide rates for HCPCS 42508

An operation to control severe drooling. The ducts carrying saliva from the glands in front of both ears are rerouted so that saliva empties further back in the mouth and is swallowed rather than spilling out, and one of the glands under the jaw is taken out during the same operation. Cutting down and redirecting the saliva that reaches the front of the mouth is what stops the drooling.

Rates data updated July 2026.

How much does Saliva Duct Rerouting With One Gland Removed cost?

$6,166

Typical negotiated rate. Nationwide, July 2026.

Insurers have agreed to pay about $6,166 for this service. The price depends on where it is billed: about $1,905 from a physician practice, and about $7,943 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 26 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed by	Who charges it	Typical	Range
Physician practiceA doctor's office, clinic or independent provider	A doctor's office, clinic or independent provider	$1,905	$1,479 to $4,677
FacilityA hospital or hospital-owned outpatient department	A hospital or hospital-owned outpatient department	$7,943	$2,570 to $12,303

How much rates vary

Facilitymedian $7,943 · 10th to 90th $1,000 to $16,218Professionalmedian $1,905 · 10th to 90th $955 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
BCBS Setting Facility Modifier Global Typical Low $3,630.78 Median $9,332.54 Typical High $16,982.44	Facility	Global	$3,630.78	$9,332.54	$16,982.44
Cigna Setting Facility Modifier Global Typical Low $1,778.28 Median $2,398.83 Typical High $6,760.83	Facility	Global	$1,778.28	$2,398.83	$6,760.83
Cigna Setting Professional Modifier Global Typical Low $1,230.27 Median $1,905.46 Typical High $3,162.28	Professional	Global	$1,230.27	$1,905.46	$3,162.28

What it costs in each state

The same service costs 28.8 times more in California than in Illinois. 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.

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

CA $10,000IL $347

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.