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Throat Surgery for Snoring and Sleep Apnea

Illinois rates for HCPCS 42145

Removes and reshapes tissue at the back of the throat, including the soft palate and the dangling uvula, and tightens the throat walls so the airway stays open during sleep. It is done for obstructive sleep apnea and heavy snoring caused by tissue collapsing into the airway. The tonsils are often taken out at the same time.

Facilitymedian $4,467 · 10th–90th $1,047$10,2330%10%10th90th$4,467Professionalmedian $1,202 · 10th–90th $724$3,8020%10%20%10th90th$1,202$0.2$2.0$20.0$200.0$2.0K$20.0K

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
$1,023.29
Median
$4,265.80
Typical High
$10,000.00
BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,265.80
Median
$8,317.64
Typical High
$12,022.64
Cigna
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$831.76
Typical High
$5,623.41
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$1,202.26
Typical High
$3,801.89
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
United
Setting
Facility
Modifier
Global
Typical Low
$1,698.24
Median
$4,365.16
Typical High
$8,511.38