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Rhode Island rates for HCPCS 42825

Tonsillectomy, primary or secondary; younger than age 12

Facilitymedian $4,571 · 10th–90th $2,570–$5,8880%20%10th90th$4,571Professionalmedian $316 · 10th–90th $251–$3,6310%10%20%10th90th$316$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
$3,019.95 / $5,495.41 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $316.23 / $3,630.78
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $363.08 / $524.81
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$831.76 / $5,370.32 / $5,370.32
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $426.58 / $630.96
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$831.76 / $3,548.13 / $8,912.51
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $323.59 / $549.54