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Alabama rates for HCPCS 42825

Tonsillectomy, primary or secondary; younger than age 12

Facilitymedian $2,239 · 10th–90th $525–$4,0740%10%10th90th$2,239Professionalmedian $309 · 10th–90th $240–$6030%10%20%10th90th$309$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
$524.81 / $1,445.44 / $2,398.83
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $316.23 / $602.56
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,754.23 / $3,235.94 / $4,365.16
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $446.68 / $602.56
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $346.74 / $588.84
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$831.76 / $3,019.95 / $4,365.16
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $281.84 / $478.63