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Drainage of an Abscess Near the Tonsil

North Dakota 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?

$618

Typical total for the visit. In North Dakota, July 2026.

Insurers have agreed to pay about $618 for this procedure. That total is two separate charges: $263 to the doctor who performs it, and $355 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$263$174 to $380
Facility feeThe hospital or surgery center$355$191 to $3,548

How much rates vary

Facilitymedian $355 · 10th to 90th $135 to $3,981Professionalmedian $263 · 10th to 90th $132 to $513
$200$500$1K$2K$5Kfacility $355professional $263

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
$134.90
Median
$776.25
Typical High
$3,981.07
Aetna
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$190.55
Typical High
$741.31
BCBS
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$354.81
Typical High
$489.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$323.59
Typical High
$489.78
Medica
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$229.09
Typical High
$407.38
Medica
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$323.59
Typical High
$1,445.44
United
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$1,819.70
Typical High
$2,041.74
United
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$234.42
Typical High
$389.05

Where North Dakota 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

North Dakota· 39th of 51

$618

$263 physician + $355 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.