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Destruction Of A Growth On The Palate Or Uvula

Kentucky 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?

$204

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $204 for this service. The price depends on where it is billed: about $200 from a physician practice, and about $2,239 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$200$141 to $251
FacilityA hospital or hospital-owned outpatient department$2,239$1,413 to $3,631

How much rates vary

Facilitymedian $2,239 · 10th to 90th $245 to $4,365Professionalmedian $200 · 10th to 90th $132 to $324
$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0Kfacility $2,239professional $200

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
$173.78
Median
$851.14
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$213.80
Typical High
$398.11
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$2,398.83
Typical High
$4,365.16
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$186.21
Typical High
$269.15
CareSource
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$147.91
Typical High
$208.93
CareSource
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$158.49
Typical High
$204.17
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$223.87
Typical High
$223.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$251.19
Typical High
$1,174.90
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$95.50
United
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$2,089.30
Typical High
$4,168.69
United
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$223.87
Typical High
$363.08

Where Kentucky sits

The same service costs 2.0 times more in Minnesota than in West Virginia. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Kentucky $204 · 50th of 51
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.