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Destruction Of A Growth On The Palate Or Uvula

Michigan 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?

$209

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $209 for this service. The price depends on where it is billed: about $204 from a physician practice, and about $2,042 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$204$155 to $251
FacilityA hospital or hospital-owned outpatient department$2,042$2,042 to $4,898

How much rates vary

Facilitymedian $2,042 · 10th to 90th $209 to $5,495Professionalmedian $204 · 10th to 90th $138 to $288
$200$500$1K$2K$5K$10Kfacility $2,042professional $204

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
$181.97
Median
$2,041.74
Typical High
$4,897.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$204.17
Typical High
$288.40
BCBS
Setting
Facility
Modifier
Global
Typical Low
$33.88
Median
$199.53
Typical High
$199.53
BCBS
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$199.53
Typical High
$199.53
Cigna
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$229.09
Typical High
$426.58
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$691.83
Typical High
$4,897.79
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$234.42
Typical High
$323.59
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$562.34
Typical High
$954.99
United
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$3,311.31
Typical High
$8,709.64
United
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$234.42
Typical High
$363.08

Where Michigan 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.

Michigan· 49th of 51

$209

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.