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Destruction Of A Growth On The Palate Or Uvula

New York 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?

$275

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $275 for this service. The price depends on where it is billed: about $257 from a physician practice, and about $3,548 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 9 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$257$204 to $355
FacilityA hospital or hospital-owned outpatient department$3,548$1,698 to $5,623

How much rates vary

Facilitymedian $3,548 · 10th to 90th $224 to $8,318Professionalmedian $257 · 10th to 90th $148 to $603
$100.0$1.0K$10.0Kfacility $3,548professional $257

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
$199.53
Median
$2,691.53
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$218.78
Typical High
$380.19
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$4,677.35
Typical High
$9,120.11
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$245.47
Typical High
$457.09
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$204.17
Typical High
$4,073.80
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$204.17
Typical High
$338.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$223.87
Typical High
$1,230.27
Cigna
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$302.00
Typical High
$707.95
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$151.36
Typical High
$346.74
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$354.81
Typical High
$512.86
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$208.93
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$302.00
Typical High
$478.63
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$398.11
Typical High
$588.84
United
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$3,467.37
Typical High
$8,128.31
United
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$338.84
Typical High
$741.31
Univera
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$169.82
Typical High
$562.34
Univera
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$269.15
Typical High
$467.74

Where New York 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.

New York $275 · 12th 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.