# CPT 42420: Excision of parotid gland, total, with dissection of facial nerve

Medicare CPT 42420 pays $1,025.74 in a non-facility setting and $1,025.74 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $938.27 in Arkansas to $1,320.47 in Alaska, a 41% spread.

Web page: https://www.med-reveal.com/rates/42420-cpt-fee-schedule
Section: Surgery and Procedures

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $1,025.74 |
| National facility | $1,025.74 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $1,320.47 | $1,320.47 |
| New York | $1,124.01 | $1,124.01 |
| District of Columbia | $1,123.32 | $1,123.32 |
| Florida | $1,116.21 | $1,116.21 |
| Illinois | $1,104.12 | $1,104.12 |
| New Jersey | $1,103.49 | $1,103.49 |
| Connecticut | $1,081.05 | $1,081.05 |
| Washington | $1,067.17 | $1,067.17 |
| Massachusetts | $1,065.54 | $1,065.54 |
| California | $1,059.38 | $1,059.38 |
| Maryland | $1,053.88 | $1,053.88 |
| Michigan | $1,046.25 | $1,046.25 |
| Rhode Island | $1,037.36 | $1,037.36 |
| Pennsylvania | $1,031.94 | $1,031.94 |
| Georgia | $1,031.69 | $1,031.69 |
| Colorado | $1,031.57 | $1,031.57 |
| West Virginia | $1,027.80 | $1,027.80 |
| Puerto Rico | $1,027.57 | $1,027.57 |
| Virgin Islands | $1,027.57 | $1,027.57 |
| Hawaii | $1,026.40 | $1,026.40 |
| New Hampshire | $1,026.03 | $1,026.03 |
| Montana | $1,025.55 | $1,025.55 |
| Oregon | $1,020.49 | $1,020.49 |
| New Mexico | $1,020.23 | $1,020.23 |
| Texas | $1,017.94 | $1,017.94 |
| Delaware | $1,015.83 | $1,015.83 |
| Nevada | $1,010.25 | $1,010.25 |
| Louisiana | $1,004.50 | $1,004.50 |
| Arizona | $1,002.98 | $1,002.98 |
| Wyoming | $1,001.17 | $1,001.17 |
| Ohio | $1,000.81 | $1,000.81 |
| Missouri | $999.95 | $999.95 |
| Utah | $998.38 | $998.38 |
| Virginia | $992.93 | $992.93 |
| South Carolina | $989.12 | $989.12 |
| Kentucky | $984.93 | $984.93 |
| Maine | $977.30 | $977.30 |
| Vermont | $976.09 | $976.09 |
| Oklahoma | $973.07 | $973.07 |
| North Carolina | $971.84 | $971.84 |
| North Dakota | $969.59 | $969.59 |
| Minnesota | $967.76 | $967.76 |
| South Dakota | $962.98 | $962.98 |
| Mississippi | $960.03 | $960.03 |
| Indiana | $955.60 | $955.60 |
| Tennessee | $955.11 | $955.11 |
| Idaho | $952.31 | $952.31 |
| Kansas | $950.51 | $950.51 |
| Wisconsin | $947.93 | $947.93 |
| Alabama | $947.81 | $947.81 |
| Nebraska | $944.21 | $944.21 |
| Iowa | $943.65 | $943.65 |
| Arkansas | $938.27 | $938.27 |

## Related codes

- 31535: Laryngoscopy, direct, with biopsy — https://www.med-reveal.com/rates/31535-cpt-fee-schedule
- 31570: Laryngoscopy with injection into vocal cord(s) — https://www.med-reveal.com/rates/31570-cpt-fee-schedule
- 31575: Laryngoscopy, flexible, diagnostic — https://www.med-reveal.com/rates/31575-cpt-fee-schedule
- 31578: Laryngoscopy with removal of foreign body — https://www.med-reveal.com/rates/31578-cpt-fee-schedule
- 31590: Laryngeal reinnervation — https://www.med-reveal.com/rates/31590-cpt-fee-schedule
- 42410: Excision of parotid tumor or parotid gland, lateral lobe, without nerve dissection — https://www.med-reveal.com/rates/42410-cpt-fee-schedule
- 42440: Excision of submandibular gland — https://www.med-reveal.com/rates/42440-cpt-fee-schedule
- 42800: Biopsy, oropharynx — https://www.med-reveal.com/rates/42800-cpt-fee-schedule

Commercial negotiated rates for 42420 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules