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Drainage of an Abscess Near the Tonsil

Georgia 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?

$2,505

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

Insurers have agreed to pay about $2,505 for this procedure. That total is two separate charges: $214 to the doctor who performs it, and $2,291 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$214$166 to $302
Facility feeThe hospital or surgery center$2,291$724 to $3,548

How much rates vary

Facilitymedian $2,291 · 10th to 90th $331 to $5,370Professionalmedian $214 · 10th to 90th $138 to $427
$100$200$500$1K$2K$5K$10Kfacility $2,291professional $214

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
$208.93
Median
$3,019.95
Typical High
$7,079.46
Aetna
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$204.17
Typical High
$426.58
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$213.80
Typical High
$251.19
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$1,819.70
Typical High
$3,981.07
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$263.03
Typical High
$416.87
CareSource
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$123.03
Typical High
$123.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$331.13
Typical High
$549.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$223.87
Typical High
$416.87
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$234.42
Typical High
$407.38
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$245.47
Typical High
$380.19
United
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$707.95
Typical High
$2,238.72
United
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$199.53
Typical High
$363.08

Where Georgia 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

Georgia· 8th of 51

$2,505

$214 physician + $2,291 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.