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Drainage of an Abscess Near the Tonsil

Florida 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?

$2,044

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

Insurers have agreed to pay about $2,044 for this procedure. That total is two separate charges: $182 to the doctor who performs it, and $1,862 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 8 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$182$145 to $229
Facility feeThe hospital or surgery center$1,862$692 to $5,012

How much rates vary

Facilitymedian $1,862 · 10th to 90th $302 to $9,333Professionalmedian $182 · 10th to 90th $126 to $347
$100$200$500$1K$2K$5K$10Kfacility $1,862professional $182

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
$302.00
Median
$1,659.59
Typical High
$10,471.29
Aetna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$186.21
Typical High
$371.54
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$199.53
Typical High
$457.09
AvMed
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$1,548.82
Typical High
$10,471.29
AvMed
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$165.96
Typical High
$213.80
Cigna
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$223.87
Typical High
$1,318.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$208.93
Typical High
$371.54
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$1,445.44
Median
$2,511.89
Typical High
$4,365.16
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$158.49
Typical High
$234.42
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$107.15
Typical High
$234.42
United
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$1,202.26
Typical High
$3,630.78
United
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$169.82
Typical High
$316.23
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$147.91
Typical High
$208.93

Where Florida 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

Florida· 10th of 51

$2,044

$182 physician + $1,862 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.