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Alabama rates for HCPCS 42820

Tonsillectomy and adenoidectomy; younger than age 12

Facilitymedian $2,239 · 10th–90th $575–$5,3700%10%10th90th$2,239Professionalmedian $447 · 10th–90th $269–$8130%10%10th90th$447$100.0$500.0$2.0K$10.0K

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
$575.44 / $1,445.44 / $5,370.32
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $446.68 / $831.76
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $302.00 / $331.13
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,754.23 / $3,235.94 / $4,365.16
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $478.63 / $630.96
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $380.19 / $676.08
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$831.76 / $3,019.95 / $4,365.16
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $309.03 / $537.03