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Drainage of an Abscess Near the Tonsil

Arizona 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?

$1,812

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

Insurers have agreed to pay about $1,812 for this procedure. That total is two separate charges: $191 to the doctor who performs it, and $1,622 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$191$148 to $251
Facility feeThe hospital or surgery center$1,622$269 to $3,090

How much rates vary

Facilitymedian $1,622 · 10th to 90th $174 to $5,495Professionalmedian $191 · 10th to 90th $129 to $490
$200$500$1K$2K$5Kfacility $1,622professional $191

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
$389.05
Median
$2,398.83
Typical High
$5,623.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$190.55
Typical High
$489.78
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$288.40
Typical High
$501.19
BCBS
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$1,698.24
Typical High
$3,311.31
BCBS
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$234.42
Typical High
$426.58
Cigna
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$138.04
Typical High
$331.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$194.98
Typical High
$371.54
Medica
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$194.98
Typical High
$501.19
Medica
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$263.03
Typical High
$1,445.44
United
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$933.25
Typical High
$2,137.96
United
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$177.83
Typical High
$309.03

Where Arizona 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

Arizona· 12th of 51

$1,812

$191 physician + $1,622 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.