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Florida rates for HCPCS 42826

Tonsillectomy, primary or secondary; age 12 or over

Facilitymedian $5,888 · 10th–90th $1,514–$12,5890%10%10th90th$5,888$5.0$20.0$100.0$500.0$2.0K$10.0K$50.0K

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
$1,905.46 / $5,754.40 / $11,481.54
Aetna
Facility/Professional
Facility
Modifier
52
Typical Low / Median / Typical High
$3.80 / $3.80 / $3.80
AvMed
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$691.83 / $3,467.37 / $11,220.18
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$436.52 / $977.24 / $1,548.82
Cigna
Facility/Professional
Facility
Modifier
52
Typical Low / Median / Typical High
$346.74 / $346.74 / $346.74
Florida Blue
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,025.60 / $12,882.50 / $23,442.29
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,288.25 / $5,248.07 / $9,549.93