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Destruction Of A Growth On The Palate Or Uvula

Indiana 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?

$229

Typical negotiated rate. In Indiana, July 2026.

Insurers have agreed to pay about $229 for this service. The price depends on where it is billed: about $219 from a physician practice, and about $6,166 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 5 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$219$155 to $275
FacilityA hospital or hospital-owned outpatient department$6,166$3,236 to $8,913

How much rates vary

Facilitymedian $6,166 · 10th to 90th $269 to $10,471Professionalmedian $219 · 10th to 90th $138 to $355
$200$500$1K$2K$5K$10Kfacility $6,166professional $219

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
$154.88
Median
$1,380.38
Typical High
$5,623.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$218.78
Typical High
$309.03
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,344.23
Median
$8,128.31
Typical High
$10,471.29
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$269.15
Typical High
$436.52
CareSource
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$141.25
Typical High
$158.49
CareSource
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$120.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$229.09
Typical High
$478.63
Cigna
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$239.88
Typical High
$426.58
United
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$3,467.37
Typical High
$6,456.54
United
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$218.78
Typical High
$346.74

Where Indiana 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.

Indiana· 35th of 51

$229

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.