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Drainage of an Abscess Near the Tonsil

Minnesota 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?

$904

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

Insurers have agreed to pay about $904 for this procedure. That total is two separate charges: $355 to the doctor who performs it, and $550 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$355$224 to $501
Facility feeThe hospital or surgery center$550$224 to $813

How much rates vary

Facilitymedian $550 · 10th to 90th $141 to $1,660Professionalmedian $355 · 10th to 90th $158 to $692
$100$200$500$1K$2Kfacility $550professional $355

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
$128.82
Median
$660.69
Typical High
$3,981.07
Aetna
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$190.55
Typical High
$741.31
BCBS
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$426.58
Typical High
$1,047.13
BCBS
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$407.38
Typical High
$691.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$691.83
Typical High
$1,905.46
Cigna
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$446.68
Typical High
$812.83
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$691.83
Typical High
$1,513.56
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$457.09
Typical High
$776.25
Medica
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$239.88
Typical High
$575.44
Medica
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$389.05
Typical High
$1,445.44
United
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$1,584.89
Typical High
$3,715.35
United
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$295.12
Typical High
$602.56

Where Minnesota 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

Minnesota· 29th of 51

$904

$355 physician + $550 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.