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Removal Of A Growth From The Palate

Washington, DC rates for HCPCS 42104

Removes a growth from the roof of the mouth or from the uvula, the small flap that hangs at the back of the throat. The whole lesion is cut away and the raw area is left to heal over on its own rather than being stitched shut or covered with a flap of tissue. It is chosen when the remaining area is small enough to close by itself.

Rates data updated July 2026.

How much does Removal Of A Growth From The Palate cost?

$209

Typical physician fee. In Washington, DC, July 2026.

Insurers have agreed to pay about $209 for this service. Most negotiated rates run $155 to $251.

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.

How much rates vary

Facilitymedian $4,074 · 10th to 90th $162 to $7,762Professionalmedian $195 · 10th to 90th $132 to $269
$100$500$2K$10Kfacility $4,074professional $195

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
$162.18
Median
$4,073.80
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$181.97
Typical High
$269.15
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$144.54
Typical High
$2,570.40
Cigna
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$218.78
Typical High
$575.44
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$251.19
Typical High
$457.09
United
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$6,606.93
Typical High
$26,302.68
United
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$208.93
Typical High
$446.68

Where Washington, DC sits

The same service costs 1.9 times more in Minnesota than in West Virginia. 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.

Washington, DC· 37th of 51

$209

MN $372WV $191

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.