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Georgia rates for HCPCS 42821

Tonsillectomy and adenoidectomy; age 12 or over

Facilitymedian $4,571 · 10th–90th $1,000–$8,1280%5%10%10th90th$4,571Professionalmedian $363 · 10th–90th $275–$8710%20%10th90th$363$500.0$1.0K$2.0K$5.0K$10.0K$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
$1,380.38 / $5,370.32 / $9,549.93
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$870.96 / $2,884.03 / $5,128.61
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$707.95 / $1,174.90 / $1,778.28
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $363.08 / $870.96
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$630.96 / $3,235.94 / $6,025.60