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Nationwide rates for HCPCS 42825

Tonsillectomy, primary or secondary; younger than age 12

Facilitymedian $5,129 · 10th–90th $380$12,8820%10%20%10th90th$5,129Professionalmedian $347 · 10th–90th $251$8710%20%40%10th90th$347$0.5$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
$524.81 / $4,897.79 / $11,220.18
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $331.13 / $977.24
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,235.94 / $8,709.64 / $17,378.01
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $323.59 / $588.84
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$457.09 / $954.99 / $4,897.79
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $363.08 / $758.58
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,174.90 / $4,265.80 / $10,964.78
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $331.13 / $630.96