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Drainage of an Abscess Near the Tonsil

Alabama 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?

$566

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

Insurers have agreed to pay about $566 for this procedure. That total is two separate charges: $186 to the doctor who performs it, and $380 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 5 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$186$145 to $263
Facility feeThe hospital or surgery center$380$200 to $955

How much rates vary

Facilitymedian $380 · 10th to 90th $166 to $1,660Professionalmedian $186 · 10th to 90th $126 to $380
$100$200$500$1K$2Kfacility $380professional $186

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
$177.83
Median
$562.34
Typical High
$2,238.72
Aetna
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$190.55
Typical High
$380.19
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$123.03
Typical High
$204.17
BCBS
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$181.97
Typical High
$245.47
BCBS
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$190.55
Typical High
$245.47
Cigna
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$208.93
Typical High
$389.05
United
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$588.84
Typical High
$1,548.82
United
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$173.78
Typical High
$295.12

Where Alabama 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

Alabama· 44th of 51

$566

$186 physician + $380 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.