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Drainage of an Abscess Near the Tonsil

Nevada 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?

$1,283

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

Insurers have agreed to pay about $1,283 for this procedure. That total is two separate charges: $186 to the doctor who performs it, and $1,096 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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$186$145 to $229
Facility feeThe hospital or surgery center$1,096$589 to $1,698

How much rates vary

Facilitymedian $1,096 · 10th to 90th $141 to $3,981Professionalmedian $186 · 10th to 90th $129 to $427
$100$200$500$1K$2K$5K$10Kfacility $1,096professional $186

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
$891.25
Typical High
$3,630.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$186.21
Typical High
$758.58
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$204.17
Typical High
$204.17
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$3,467.37
Typical High
$4,466.84
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$204.17
Typical High
$331.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$131.83
Typical High
$181.97
Cigna
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$204.17
Typical High
$331.13
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$1.51
Median
$169.82
Typical High
$263.03
Hometown Health
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$134.90
Typical High
$134.90
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$295.12
Select Health
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$177.83
Typical High
$199.53
Select Health
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$120.23
Typical High
$234.42
United
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$436.52
Typical High
$1,995.26
United
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$186.21
Typical High
$316.23

Where Nevada 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

Nevada· 23rd of 51

$1,283

$186 physician + $1,096 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.