go back

Other Salivary Gland or Duct Procedure

Georgia rates for HCPCS 42699

Covers a procedure on a salivary gland or one of its ducts that is unusual enough to have no standard name of its own. The salivary glands sit in the cheeks, under the jaw and under the tongue, and drain saliva into the mouth through small tubes. The surgeon submits a written description of what was actually done.

Rates data updated July 2026.

How much does Other Salivary Gland or Duct Procedure cost?

$1,950

Typical negotiated rate. In Georgia, July 2026.

Insurers have agreed to pay about $1,950 for this service. The price depends on where it is billed: about $347 from a physician practice, and about $3,548 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 5 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$347$95.50 to $832
FacilityA hospital or hospital-owned outpatient department$3,548$1,445 to $6,310

How much rates vary

Facilitymedian $3,548 · 10th to 90th $661 to $8,511Professionalmedian $347 · 10th to 90th $87 to $1,318
$100$200$500$1K$2K$5K$10Kfacility $3,548professional $347

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
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$4,466.84
Typical High
$9,549.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$346.74
Typical High
$1,318.26
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$3,388.44
Typical High
$8,317.64
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$0.02
Median
$275.42
Typical High
$275.42
CareSource
Setting
Professional
Modifier
Global
Typical Low
$69,183.10
Median
$69,183.10
Typical High
$69,183.10
Cigna
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$549.54
Typical High
$831.76
United
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$870.96
Typical High
$2,238.72

Where Georgia sits

The same service costs 20.4 times more in Wisconsin than in Wyoming. 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.

Georgia· 28th of 50

$1,950

WI $6,026WY $295

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.