go back

Drainage of an Abscess Near the Tonsil

Mississippi 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?

$667

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

Insurers have agreed to pay about $667 for this procedure. That total is two separate charges: $200 to the doctor who performs it, and $468 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$200$158 to $295
Facility feeThe hospital or surgery center$468$170 to $891

How much rates vary

Facilitymedian $468 · 10th to 90th $123 to $1,738Professionalmedian $200 · 10th to 90th $126 to $380
$100$200$500$1K$2K$5K$10Kfacility $468professional $200

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
$123.03
Median
$416.87
Typical High
$1,819.70
Aetna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$199.53
Typical High
$380.19
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$204.17
Typical High
$331.13
BCBS
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$134.90
Typical High
$134.90
BCBS
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$338.84
Typical High
$338.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$120.23
Typical High
$630.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$204.17
Typical High
$331.13
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$489.78
Typical High
$1,479.11
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$186.21
Typical High
$398.11

Where Mississippi 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

Mississippi· 37th of 51

$667

$200 physician + $468 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.