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Oklahoma rates for HCPCS 42820

Tonsillectomy and adenoidectomy; younger than age 12

Facilitymedian $4,898 · 10th–90th $589–$8,5110%5%10%10th90th$4,898Professionalmedian $324 · 10th–90th $269–$6170%20%10th90th$324$200.0$1.0K$5.0K$20.0K

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
$1,000.00 / $4,897.79 / $7,943.28
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $316.23 / $630.96
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $295.12 / $331.13
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,890.45 / $6,025.60 / $9,772.37
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $346.74 / $380.19
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,454.71 / $2,454.71 / $2,454.71
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $338.84 / $457.09
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$288.40 / $436.52 / $5,754.40
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $346.74 / $2,630.27
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$891.25 / $3,311.31 / $9,332.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $309.03 / $446.68