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Arizona rates for HCPCS 42825

Tonsillectomy, primary or secondary; younger than age 12

Facilitymedian $3,802 · 10th–90th $363–$7,9430%5%10%10th90th$3,802Professionalmedian $339 · 10th–90th $245–$1,1220%10%10th90th$339$200.0$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
$2,089.30 / $4,677.35 / $8,317.64
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $346.74 / $1,148.15
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $257.04 / $257.04
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$831.76 / $3,235.94 / $6,025.60
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $323.59 / $575.44
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$630.96 / $3,311.31 / $5,370.32
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $316.23 / $562.34
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$251.19 / $323.59 / $3,630.78
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $331.13 / $2,041.74
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,041.74 / $3,311.31 / $5,370.32
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $275.42 / $501.19