go back

South Dakota rates for HCPCS 42821

Tonsillectomy and adenoidectomy; age 12 or over

Facilitymedian $3,981 · 10th–90th $447–$6,6070%10%20%10th90th$3,981Professionalmedian $501 · 10th–90th $347–$6170%10%20%10th90th$501$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 / $4,365.16 / $6,606.93
Avera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$302.00 / $616.60 / $3,162.28
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$288.40 / $512.86 / $1,412.54
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$676.08 / $691.83 / $691.83
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $501.19 / $602.56
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,691.53 / $2,691.53 / $6,760.83