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Arkansas rates for HCPCS 42820

Tonsillectomy and adenoidectomy; younger than age 12

Facilitymedian $1,950 · 10th–90th $389–$6,3100%5%10th90th$1,950Professionalmedian $389 · 10th–90th $275–$8320%10%20%10th90th$389$100.0$200.0$500.0$1.0K$2.0K$5.0K$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
$371.54 / $1,819.70 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $398.11 / $851.14
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $302.00 / $457.09
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,370.32 / $5,370.32 / $7,413.10
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $316.23 / $416.87
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$295.12 / $371.54 / $501.19
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $371.54 / $660.69
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$512.86 / $562.34 / $3,162.28
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $389.05 / $537.03
Qualchoice
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$436.52 / $436.52 / $478.63
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$933.25 / $2,238.72 / $8,912.51
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $346.74 / $524.81