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Destruction Of A Growth On The Palate Or Uvula

Ohio 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?

$219

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $219 for this service. The price depends on where it is billed: about $214 from a physician practice, and about $2,344 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 8 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$214$155 to $263
FacilityA hospital or hospital-owned outpatient department$2,344$741 to $4,467

How much rates vary

Facilitymedian $2,344 · 10th to 90th $245 to $10,233Professionalmedian $214 · 10th to 90th $135 to $347
$10.0$100.0$1.0K$10.0Kfacility $2,344professional $214

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
$218.78
Median
$2,238.72
Typical High
$10,715.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$218.78
Typical High
$346.74
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$2,691.53
Typical High
$7,943.28
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$199.53
Typical High
$331.13
CareSource
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$147.91
Typical High
$190.55
CareSource
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$144.54
Typical High
$162.18
Cigna
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$223.87
Typical High
$575.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$245.47
Typical High
$436.52
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$269.15
Typical High
$575.44
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$251.19
Typical High
$426.58
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$109.65
SummaCare
Setting
Facility
Modifier
Global
Typical Low
$5,128.61
Median
$5,128.61
Typical High
$5,128.61
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$229.09
Typical High
$371.54
United
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$2,570.40
Typical High
$6,025.60
United
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$218.78
Typical High
$371.54

Where Ohio 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.

Ohio $219 · 43rd 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.