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Unlisted Procedure of the Palate or Uvula

Georgia rates for HCPCS 42299

Covers an operation on the roof of the mouth or on the uvula, the soft flap that hangs at the back of the throat, when the work done has no standard named entry of its own. The surgeon submits a written report describing exactly what was performed.

Rates data updated July 2026.

How much does Unlisted Procedure of the Palate or Uvula cost?

$4,365

Typical negotiated rate. In Georgia, July 2026.

Insurers have agreed to pay about $4,365 for this service. The price depends on where it is billed: about $1,230 from a physician practice, and about $4,571 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 5 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$1,230$603 to $4,571
FacilityA hospital or hospital-owned outpatient department$4,571$1,259 to $6,761

How much rates vary

Facilitymedian $4,571 · 10th to 90th $550 to $8,128Professionalmedian $1,230 · 10th to 90th $562 to $7,586
$0.1$1$10$100$1K$10Kfacility $4,571professional $1,230

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
$4,466.84
Median
$5,370.32
Typical High
$9,549.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$1,230.27
Typical High
$7,585.78
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$3,388.44
Typical High
$8,317.64
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$0.02
Median
$275.42
Typical High
$275.42
CareSource
Setting
Professional
Modifier
Global
Typical Low
$69,183.10
Median
$69,183.10
Typical High
$69,183.10
Cigna
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$588.84
Typical High
$831.76
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,000.00
Typical High
$1,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$870.96
Typical High
$2,238.72

Where Georgia sits

The same service costs 426.6 times more in Wisconsin than in Hawaii. 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.

Georgia· 13th of 50

$4,365

WI $12,589HI $29.51

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.