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Idaho rates for HCPCS 42825

Tonsillectomy, primary or secondary; younger than age 12

Facilitymedian $4,467 · 10th–90th $347–$8,1280%10%10th90th$4,467Professionalmedian $372 · 10th–90th $257–$7760%10%20%10th90th$372$50.0$200.0$1.0K$5.0K$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
$3,235.94 / $5,248.07 / $5,623.41
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $363.08 / $776.25
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,698.24 / $5,370.32 / $15,135.61
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$446.68 / $512.86 / $549.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $389.05 / $512.86
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$275.42 / $407.38 / $933.25
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $436.52 / $691.83
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $33.11
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,772.37 / $13,182.57 / $18,620.87
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$416.87 / $501.19 / $549.54
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $251.19 / $10,964.78
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,495.41 / $12,302.69 / $12,302.69
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $354.81 / $537.03