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Destruction Of A Growth On The Palate Or Uvula

North Carolina 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?

$288

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $288 for this service. The price depends on where it is billed: about $288 from a physician practice, and about $257 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$288$214 to $417
FacilityA hospital or hospital-owned outpatient department$257$195 to $398

How much rates vary

Facilitymedian $257 · 10th to 90th $141 to $1,660Professionalmedian $288 · 10th to 90th $158 to $603
$50.0$200.0$1.0K$5.0Kfacility $257professional $288

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
$208.93
Median
$870.96
Typical High
$6,918.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$229.09
Typical High
$562.34
BCBS
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$223.87
Typical High
$245.47
BCBS
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$316.23
Typical High
$676.08
Cigna
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$275.42
Typical High
$478.63
Cigna
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$275.42
Typical High
$501.19
Medcost
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$363.08
Typical High
$363.08
Medcost
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$234.42
Typical High
$398.11
Medcost
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$147.91
Typical High
$602.56
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$223.87
United
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$2,398.83
Typical High
$6,760.83
United
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$213.80
Typical High
$371.54
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$2,570.40
Typical High
$2,570.40
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$1,621.81
Median
$1,621.81
Typical High
$1,862.09

Where North Carolina 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.

North Carolina $288 · 8th 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.