go back

Destruction Of A Growth On The Palate Or Uvula

Illinois 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?

$240

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $240 for this service. The price depends on where it is billed: about $229 from a physician practice, and about $1,349 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 6 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$229$166 to $295
FacilityA hospital or hospital-owned outpatient department$1,349$525 to $3,020

How much rates vary

Facilitymedian $1,349 · 10th to 90th $234 to $5,370Professionalmedian $229 · 10th to 90th $138 to $437
$200$500$1K$2K$5K$10Kfacility $1,349professional $229

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
$234.42
Median
$1,258.93
Typical High
$5,370.32
Aetna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$218.78
Typical High
$416.87
BCBS
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$4,073.80
Typical High
$5,623.41
BCBS
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$245.47
Typical High
$407.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$295.12
Typical High
$1,000.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$251.19
Typical High
$446.68
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$338.84
Typical High
$741.31
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$173.78
Typical High
$295.12
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$302.00
United
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$2,818.38
Typical High
$5,128.61
United
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$245.47
Typical High
$426.58

Where Illinois 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.

Illinois· 27th of 51

$240

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.