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Oregon rates for HCPCS 42820

Tonsillectomy and adenoidectomy; younger than age 12

Facilitymedian $617 · 10th–90th $331$10,2330%10%20%10th90th$617Professionalmedian $537 · 10th–90th $282$1,3490%10%10th90th$537$5.0$50.0$500.0$5.0K$50.0K$500.0K

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
$676.08 / $8,709.64 / $11,220.18
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $524.81 / $1,412.54
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,659.59 / $1,659.59 / $5,011.87
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $537.03 / $776.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$426.58 / $549.54 / $707.95
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$281.84 / $436.52 / $3,548.13
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$416.87 / $524.81 / $794.33
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$346.74 / $562.34 / $588.84
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$269.15 / $426.58 / $707.95
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $562.34 / $776.25
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13,489.63 / $18,620.87 / $22,908.68
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$537.03 / $630.96 / $794.33
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,621.81 / $11,220.18 / $25,703.96
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $549.54 / $776.25