go back

Texas rates for HCPCS 42826

Tonsillectomy, primary or secondary; age 12 or over

Facilitymedian $3,467 · 10th–90th $339–$9,7720%5%10th90th$3,467$200.0$500.0$1.0K$2.0K$5.0K$10.0K$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
$1,000.00 / $3,801.89 / $10,232.93
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,995.26 / $3,890.45 / $7,762.47
Baylor Scott & White
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$676.08 / $2,691.53 / $6,918.31
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$223.87 / $3,235.94 / $3,235.94
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$660.69 / $1,862.09 / $2,344.23
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,317.64 / $33,884.42 / $33,884.42
Lucent Health
Facility/Professional
Facility
Modifier
52
Typical Low / Median / Typical High
$6,606.93 / $6,606.93 / $6,606.93
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$251.19 / $371.54 / $3,981.07
Oscar Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,370.32 / $5,623.41 / $5,623.41
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$239.88 / $331.13 / $575.44
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,348.96 / $3,311.31 / $6,918.31