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Drainage of an Abscess Near the Tonsil

New Hampshire 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?

$1,589

Typical total for the visit. In New Hampshire, July 2026.

Insurers have agreed to pay about $1,589 for this procedure. That total is two separate charges: $240 to the doctor who performs it, and $1,349 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$240$182 to $331
Facility feeThe hospital or surgery center$1,349$490 to $1,820

How much rates vary

Facilitymedian $1,349 · 10th to 90th $145 to $8,913Professionalmedian $240 · 10th to 90th $148 to $437
$100$200$500$1K$2K$5K$10Kfacility $1,349professional $240

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
$204.17
Median
$870.96
Typical High
$8,912.51
Aetna
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$199.53
Typical High
$371.54
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$1,412.54
Typical High
$2,630.27
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$229.09
Typical High
$354.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,348.96
Median
$1,348.96
Typical High
$1,348.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$263.03
Typical High
$478.63
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$3,388.44
Typical High
$7,413.10
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$263.03
Typical High
$467.74
United
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$3,388.44
Typical High
$7,413.10
United
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$269.15
Typical High
$512.86
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$53.70
Typical High
$239.88

Where New Hampshire 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

New Hampshire· 17th of 51

$1,589

$240 physician + $1,349 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.