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South Dakota rates for HCPCS 42700

Incision and drainage abscess; peritonsillar

Facilitymedian $776 · 10th–90th $166–$3,9810%10%20%10th90th$776Professionalmedian $204 · 10th–90th $132–$5130%10%10th90th$204$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$186.21 / $3,548.13 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $190.55 / $602.56
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $398.11 / $562.34
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$131.83 / $239.88 / $489.78
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $323.59 / $1,445.44
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $338.84 / $436.52
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $281.84 / $398.11
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $269.15 / $371.54
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$812.83 / $812.83 / $812.83
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $263.03 / $426.58
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $323.59 / $457.09