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Destruction Of A Growth On The Palate Or Uvula

Georgia rates for HCPCS 42160

This is a procedure to destroy an abnormal growth on the roof of the mouth or on the small dangling tissue at the back of the throat, using heat, freezing, or a chemical agent rather than cutting the growth out. It removes the abnormal tissue while leaving the surrounding area intact.

Rates data updated July 2026.

How much does Destruction Of A Growth On The Palate Or Uvula cost?

$257

Typical negotiated rate. In Georgia, July 2026.

Insurers have agreed to pay about $257 for this service. The price depends on where it is billed: about $245 from a physician practice, and about $2,884 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 7 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$245$178 to $324
FacilityA hospital or hospital-owned outpatient department$2,884$1,148 to $4,571

How much rates vary

Facilitymedian $2,884 · 10th to 90th $417 to $6,918Professionalmedian $245 · 10th to 90th $145 to $447
$200$500$1K$2K$5K$10Kfacility $2,884professional $245

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
$245.47
Median
$3,548.13
Typical High
$9,549.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$229.09
Typical High
$426.58
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$2,290.87
Typical High
$5,248.07
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$309.03
Typical High
$467.74
CareSource
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$338.84
Typical High
$549.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$263.03
Typical High
$478.63
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$263.03
Typical High
$446.68
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$223.87
Typical High
$223.87
United
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$2,290.87
Typical High
$5,248.07
United
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$239.88
Typical High
$436.52

Where Georgia sits

The same service costs 2.0 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.

Georgia· 17th of 51

$257

MN $407WV $204

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.