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Drainage of an Abscess Near the Tonsil

Nebraska 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?

$2,417

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

Insurers have agreed to pay about $2,417 for this procedure. That total is two separate charges: $229 to the doctor who performs it, and $2,188 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$229$174 to $331
Facility feeThe hospital or surgery center$2,188$302 to $7,079

How much rates vary

Facilitymedian $2,188 · 10th to 90th $191 to $13,490Professionalmedian $229 · 10th to 90th $141 to $692
$200$500$1K$2K$5K$10K$20Kfacility $2,188professional $229

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
$2,041.74
Median
$4,365.16
Typical High
$14,454.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$208.93
Typical High
$758.58
BCBS
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$691.83
Typical High
$1,348.96
BCBS
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$239.88
Typical High
$354.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$363.08
Typical High
$562.34
Medica
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$229.09
Typical High
$407.38
Medica
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$398.11
Typical High
$1,445.44
Midlands
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$416.87
Typical High
$549.54
Midlands
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$363.08
Typical High
$457.09
United
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$354.81
Typical High
$3,801.89
United
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$269.15
Typical High
$467.74

Where Nebraska 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

Nebraska· 9th of 51

$2,417

$229 physician + $2,188 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.