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Sialography Contrast Injection

Montana rates for HCPCS 42550

An injection of contrast dye into a salivary gland duct so that an X-ray can outline the gland and its duct system. It helps detect blockages such as stones or areas of narrowing within the gland.

Rates data updated July 2026.

Facilitymedian $170 · 10th–90th $93$2820%20%10th90th$170Professionalmedian $148 · 10th–90th $60$3240%10%10th90th$148$50.0$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$138.04
Typical High
$346.74
Cigna
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$199.53
Typical High
$380.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$169.82
Typical High
$363.08
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$199.53
Typical High
$275.42
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$199.53
Typical High
$275.42
Providence
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$162.18
Typical High
$354.81
Providence
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$162.18
Typical High
$426.58
United
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$186.21
Typical High
$186.21
United
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$154.88
Typical High
$275.42