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South Dakota rates for HCPCS 42826

Tonsillectomy, primary or secondary; age 12 or over

Facilitymedian $3,981 · 10th–90th $1,622–$6,3100%10%20%10th90th$3,981Professionalmedian $427 · 10th–90th $288–$5250%10%20%10th90th$427$200.0$500.0$1.0K$2.0K$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
$2,691.53 / $3,981.07 / $6,309.57
Avera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$251.19 / $524.81 / $3,162.28
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$245.47 / $446.68 / $1,548.82
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$575.44 / $575.44 / $575.44
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $416.87 / $501.19
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,691.53 / $2,691.53 / $6,760.83