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Drainage of an Abscess Near the Tonsil

Louisiana 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?

$1,128

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

Insurers have agreed to pay about $1,128 for this procedure. That total is two separate charges: $195 to the doctor who performs it, and $933 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$158 to $257
Facility feeThe hospital or surgery center$933$398 to $2,239

How much rates vary

Facilitymedian $933 · 10th to 90th $209 to $3,467Professionalmedian $195 · 10th to 90th $132 to $380
$100$200$500$1K$2K$5Kfacility $933professional $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
$257.04
Median
$1,288.25
Typical High
$3,467.37
Aetna
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$194.98
Typical High
$524.81
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$199.53
Typical High
$331.13
BCBS
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$398.11
Typical High
$630.96
BCBS
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$218.78
Typical High
$302.00
Christus
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$204.17
Typical High
$204.17
Cigna
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$524.81
Typical High
$575.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$223.87
Typical High
$398.11
United
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$426.58
Typical High
$1,258.93
United
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$181.97
Typical High
$302.00

Where Louisiana 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

Louisiana· 24th of 51

$1,128

$195 physician + $933 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.