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Sialography Contrast Injection

Utah 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 $3,162 · 10th–90th $85$4,5710%10%10th90th$3,162Professionalmedian $166 · 10th–90th $63$3890%10%10th90th$166$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0K

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
$85.11
Median
$3,162.28
Typical High
$4,570.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$165.96
Typical High
$467.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$147.91
Typical High
$281.84
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$147.91
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$125.89
Typical High
$257.04
Select Health
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$288.40
Typical High
$288.40
Select Health
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$104.71
Typical High
$131.83
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$194.98
Typical High
$288.40
United
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$4,466.84
Typical High
$5,128.61
United
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$128.82
Typical High
$245.47