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Nevada rates for HCPCS 42826

Tonsillectomy, primary or secondary; age 12 or over

Facilitymedian $4,467 · 10th–90th $2,754–$8,3180%10%20%10th90th$4,467Professionalmedian $257 · 10th–90th $4–$4470%20%10th90th$257$0.5$2.0$10.0$50.0$200.0$1.0K$5.0K

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
$2,754.23 / $4,466.84 / $8,317.64
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,801.89 / $4,073.80 / $5,888.44
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,479.11 / $1,479.11 / $1,479.11
Hometown Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.47 / $257.04 / $446.68
Hometown Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,548.82 / $1,548.82 / $1,548.82
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$588.84 / $1,949.84 / $4,265.80