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Destruction Of A Growth On The Palate Or Uvula

Virginia 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 Virginia, 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 $275 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$229$166 to $282
FacilityA hospital or hospital-owned outpatient department$275$186 to $1,950

How much rates vary

Facilitymedian $275 · 10th to 90th $155 to $5,248Professionalmedian $229 · 10th to 90th $141 to $372
$100$200$500$1K$2K$5K$10Kfacility $275professional $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
$251.19
Median
$2,818.38
Typical High
$7,079.46
Aetna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$218.78
Typical High
$288.40
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$3,981.07
Typical High
$4,466.84
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$239.88
Typical High
$380.19
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$154.88
Typical High
$2,818.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$169.82
Typical High
$346.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$245.47
Typical High
$416.87
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$281.84
Typical High
$575.44
Medcost
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$309.03
Typical High
$407.38
Medcost
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$251.19
Typical High
$426.58
Medcost
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$147.91
Typical High
$489.78
Sentara
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$190.55
Typical High
$870.96
Sentara
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$288.40
Typical High
$1,071.52
United
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$2,818.38
Typical High
$5,754.40
United
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$223.87
Typical High
$398.11

Where Virginia 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.

Virginia· 30th 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.