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Rhode Island rates for HCPCS 42820

Tonsillectomy and adenoidectomy; younger than age 12

Facilitymedian $5,888 · 10th–90th $2,399–$9,1200%10%20%10th90th$5,888Professionalmedian $468 · 10th–90th $275–$5,3700%10%10th90th$468$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
$2,398.83 / $6,918.31 / $9,120.11
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $489.78 / $6,309.57
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $398.11 / $575.44
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$676.08 / $5,370.32 / $5,370.32
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $446.68 / $691.83
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$831.76 / $3,548.13 / $8,912.51
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $354.81 / $588.84