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Destruction Of A Growth On The Palate Or Uvula

South Dakota 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 South Dakota, 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 $295 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$204 to $417
FacilityA hospital or hospital-owned outpatient department$295$191 to $525

How much rates vary

Facilitymedian $295 · 10th to 90th $138 to $2,291Professionalmedian $288 · 10th to 90th $138 to $537
$50$100$200$500$1K$2K$5Kfacility $295professional $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
$144.54
Median
$2,290.87
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$199.53
Typical High
$288.40
Cigna
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$416.87
Typical High
$660.69
Medica
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$269.15
Typical High
$602.56
Medica
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$398.11
Typical High
$1,698.24
Midlands
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$346.74
Typical High
$537.03
Midlands
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$489.78
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$295.12
Typical High
$436.52
United
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$6,760.83
United
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$295.12
Typical High
$501.19
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$331.13
Typical High
$588.84

Where South Dakota 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.

South Dakota· 9th of 51

$288

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.