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Destruction Of A Growth On The Palate Or Uvula

New Jersey 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?

$234

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $234 for this service. The price depends on where it is billed: about $229 from a physician practice, and about $5,623 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$229$151 to $288
FacilityA hospital or hospital-owned outpatient department$5,623$3,631 to $7,762

How much rates vary

Facilitymedian $5,623 · 10th to 90th $427 to $10,715Professionalmedian $229 · 10th to 90th $135 to $468
$200$500$1K$2K$5K$10Kfacility $5,623professional $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
$302.00
Median
$5,888.44
Typical High
$10,715.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$213.80
Typical High
$398.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$263.03
Typical High
$562.34
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$331.13
Typical High
$478.63
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$8,912.51
Typical High
$16,982.44
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$251.19
Typical High
$501.19
United
Setting
Facility
Modifier
Global
Typical Low
$1,778.28
Median
$4,897.79
Typical High
$8,511.38
United
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$218.78
Typical High
$446.68

Where New Jersey 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.

New Jersey· 31st of 51

$234

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.