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Drainage of an Abscess Near the Tonsil

Kansas 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?

$1,674

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

Insurers have agreed to pay about $1,674 for this procedure. That total is two separate charges: $195 to the doctor who performs it, and $1,479 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$195$174 to $251
Facility feeThe hospital or surgery center$1,479$245 to $3,802

How much rates vary

Facilitymedian $1,479 · 10th to 90th $174 to $7,413Professionalmedian $195 · 10th to 90th $138 to $295
$100$200$500$1K$2K$5K$10Kfacility $1,479professional $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
$234.42
Median
$2,754.23
Typical High
$7,943.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$190.55
Typical High
$323.59
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$269.15
BCBS
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$288.40
Typical High
$288.40
BCBS
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$181.97
Typical High
$251.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$436.52
Typical High
$602.56
Cigna
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$208.93
Typical High
$380.19
Medica
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$218.78
Typical High
$630.96
Medica
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$288.40
Typical High
$1,445.44
United
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$380.19
Typical High
$1,659.59
United
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$194.98
Typical High
$295.12

Where Kansas 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

Kansas· 16th of 51

$1,674

$195 physician + $1,479 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.