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Arkansas rates for HCPCS 42825

Tonsillectomy, primary or secondary; younger than age 12

Facilitymedian $1,950 · 10th–90th $355–$6,1660%5%10%10th90th$1,950Professionalmedian $302 · 10th–90th $251–$5620%20%10th90th$302$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
$323.59 / $1,698.24 / $2,754.23
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $302.00 / $575.44
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,370.32 / $5,370.32 / $7,413.10
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $288.40 / $380.19
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$512.86 / $691.83 / $3,162.28
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $354.81 / $512.86
Qualchoice
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478.63 / $478.63 / $478.63
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$933.25 / $2,238.72 / $8,912.51
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $309.03 / $489.78