# CPT 42440: Excision of submandibular gland

Medicare CPT 42440 pays $370.42 in a non-facility setting and $370.42 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $336.17 in Arkansas to $466.24 in Alaska, a 39% spread.

Web page: https://www.med-reveal.com/rates/42440-cpt-fee-schedule
Section: Surgery and Procedures

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $370.42 |
| National facility | $370.42 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $466.24 | $466.24 |
| District of Columbia | $409.61 | $409.61 |
| New York | $406.84 | $406.84 |
| New Jersey | $400.89 | $400.89 |
| Florida | $399.02 | $399.02 |
| Illinois | $393.45 | $393.45 |
| Connecticut | $391.49 | $391.49 |
| Washington | $390.13 | $390.13 |
| California | $389.75 | $389.75 |
| Massachusetts | $388.84 | $388.84 |
| Maryland | $381.30 | $381.30 |
| Hawaii | $377.17 | $377.17 |
| Rhode Island | $375.65 | $375.65 |
| Colorado | $375.31 | $375.31 |
| Michigan | $373.96 | $373.96 |
| New Hampshire | $372.47 | $372.47 |
| Puerto Rico | $371.52 | $371.52 |
| Virgin Islands | $371.52 | $371.52 |
| Pennsylvania | $371.39 | $371.39 |
| Oregon | $371.32 | $371.32 |
| Montana | $370.36 | $370.36 |
| Georgia | $370.09 | $370.09 |
| Texas | $367.22 | $367.22 |
| Delaware | $366.73 | $366.73 |
| Nevada | $365.59 | $365.59 |
| West Virginia | $364.81 | $364.81 |
| New Mexico | $364.72 | $364.72 |
| Wyoming | $362.69 | $362.69 |
| Arizona | $361.78 | $361.78 |
| Louisiana | $359.58 | $359.58 |
| Virginia | $359.29 | $359.29 |
| Utah | $358.95 | $358.95 |
| Ohio | $358.42 | $358.42 |
| Missouri | $358.37 | $358.37 |
| South Carolina | $355.27 | $355.27 |
| Vermont | $354.32 | $354.32 |
| Minnesota | $353.57 | $353.57 |
| Maine | $353.06 | $353.06 |
| North Dakota | $352.76 | $352.76 |
| Kentucky | $352.28 | $352.28 |
| South Dakota | $350.68 | $350.68 |
| North Carolina | $350.26 | $350.26 |
| Oklahoma | $348.74 | $348.74 |
| Indiana | $344.87 | $344.87 |
| Wisconsin | $343.94 | $343.94 |
| Tennessee | $343.86 | $343.86 |
| Idaho | $343.50 | $343.50 |
| Mississippi | $343.11 | $343.11 |
| Kansas | $342.17 | $342.17 |
| Nebraska | $341.10 | $341.10 |
| Iowa | $340.54 | $340.54 |
| Alabama | $339.94 | $339.94 |
| Arkansas | $336.17 | $336.17 |

## 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
- 42420: Excision of parotid gland, total, with dissection of facial nerve — https://www.med-reveal.com/rates/42420-cpt-fee-schedule
- 42800: Biopsy, oropharynx — https://www.med-reveal.com/rates/42800-cpt-fee-schedule

Commercial negotiated rates for 42440 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