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Drainage of an Abscess Near the Tonsil

Oregon 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?

$598

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

Insurers have agreed to pay about $598 for this procedure. That total is two separate charges: $282 to the doctor who performs it, and $316 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 8 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$282$200 to $398
Facility feeThe hospital or surgery center$316$214 to $380

How much rates vary

Facilitymedian $316 · 10th to 90th $166 to $501Professionalmedian $282 · 10th to 90th $138 to $617
$100$200$500$1K$2K$5Kfacility $316professional $282

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
$316.23
Median
$467.74
Typical High
$6,606.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$208.93
Typical High
$812.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$1,949.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$309.03
Typical High
$478.63
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$331.13
Typical High
$478.63
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$223.87
Typical High
$398.11
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$316.23
Typical High
$467.74
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$363.08
Typical High
$389.05
Providence
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$229.09
Typical High
$398.11
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$346.74
Typical High
$489.78
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$794.33
Typical High
$1,023.29
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$363.08
Typical High
$524.81
United
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$724.44
Typical High
$5,128.61
United
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$309.03
Typical High
$489.78

Where Oregon 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

Oregon· 41st of 51

$598

$282 physician + $316 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.