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Destruction Of A Growth On The Palate Or Uvula

Pennsylvania 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?

$229

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $229 for this service. The price depends on where it is billed: about $219 from a physician practice, and about $2,570 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$219$151 to $263
FacilityA hospital or hospital-owned outpatient department$2,570$1,259 to $5,370

How much rates vary

Facilitymedian $2,570 · 10th to 90th $447 to $8,318Professionalmedian $219 · 10th to 90th $138 to $389
$10.0$100.0$1.0K$10.0Kfacility $2,570professional $219

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
$537.03
Median
$2,691.53
Typical High
$8,317.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$218.78
Typical High
$363.08
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$3,801.89
Median
$4,466.84
Typical High
$57,543.99
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$204.17
Typical High
$218.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$323.59
Typical High
$645.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$239.88
Typical High
$407.38
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$295.12
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$331.13
Typical High
$478.63
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$251.19
Typical High
$281.84
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$245.47
Typical High
$389.05
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$2,398.83
Typical High
$8,317.64
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$229.09
Typical High
$707.95
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$223.87
Typical High
$562.34
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$1,071.52
Typical High
$2,187.76
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$165.96
Typical High
$245.47
United
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$2,570.40
Typical High
$9,772.37
United
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$213.80
Typical High
$363.08

Where Pennsylvania 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.

Pennsylvania $229 · 34th 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.