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Drainage of an Abscess Near the Tonsil

Hawaii 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?

$1,317

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

Insurers have agreed to pay about $1,317 for this procedure. That total is two separate charges: $195 to the doctor who performs it, and $1,122 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$195$155 to $251
Facility feeThe hospital or surgery center$1,122$891 to $2,884

How much rates vary

Facilitymedian $1,122 · 10th to 90th $363 to $2,884Professionalmedian $195 · 10th to 90th $126 to $2,042
$100$200$500$1K$2Kfacility $1,122professional $195

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
$363.08
Median
$2,818.38
Typical High
$2,884.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$173.78
Typical High
$229.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$812.83
Typical High
$812.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$239.88
Typical High
$575.44
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$229.09
Typical High
$302.00
United
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$1,122.02
Typical High
$1,122.02
United
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$190.55
Typical High
$281.84
University Health Alliance
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$1,202.26
Typical High
$4,073.80

Where Hawaii 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

Hawaii· 21st of 51

$1,317

$195 physician + $1,122 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.