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Drainage of an Abscess Near the Tonsil

Alaska rates for HCPCS 42700

This procedure drains a pocket of infection that has formed in the tissue next to a tonsil, a condition that can cause severe throat pain, difficulty swallowing, and a muffled voice. The clinician makes a small opening to release the pus and relieve pressure in the area.

Rates data updated July 2026.

How much does Drainage of an Abscess Near the Tonsil cost?

$590

Typical total for the visit. In Alaska, July 2026.

Insurers have agreed to pay about $590 for this procedure. That total is two separate charges: $339 to the doctor who performs it, and $251 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$339$186 to $646
Facility feeThe hospital or surgery center$251$186 to $407

How much rates vary

Facilitymedian $251 · 10th to 90th $151 to $1,380Professionalmedian $339 · 10th to 90th $135 to $977
$200$500$1K$2K$5K$10Kfacility $251professional $339

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
$426.58
Median
$1,584.89
Typical High
$6,606.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$190.55
Typical High
$707.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$208.93
Typical High
$436.52
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$229.09
Typical High
$467.74
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$549.54
Typical High
$1,122.02
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$776.25
Typical High
$1,047.13
Providence
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$229.09
Typical High
$467.74
Providence
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$288.40
Typical High
$489.78
United
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$208.93
Typical High
$812.83

Where Alaska sits

The same service costs 15.2 times more in Delaware than in Maryland. 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.

Physician feeFacility fee

Alaska· 42nd of 51

$590

$339 physician + $251 facility

DE $5,194MD $341

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.