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Sialography Contrast Injection

New Hampshire 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 $550 · 10th–90th $100$9,7720%20%10th90th$550Professionalmedian $148 · 10th–90th $63$3310%5%10%10th90th$148$20.0$100.0$500.0$2.0K$10.0K

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
Facility
Modifier
Global
Typical Low
$251.19
Median
$549.54
Typical High
$9,772.37
Aetna
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$141.25
Typical High
$190.55
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$144.54
Typical High
$331.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$162.18
Typical High
$371.54
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$3,388.44
Median
$3,388.44
Typical High
$7,413.10
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$162.18
Typical High
$346.74
United
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$3,388.44
Typical High
$7,413.10
United
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$177.83
Typical High
$389.05
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$11.22
Median
$11.22
Typical High
$12.02