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West Virginia rates for HCPCS 42826

Tonsillectomy, primary or secondary; age 12 or over

Facilitymedian $7,413 · 10th–90th $2,291–$13,1830%10%20%10th90th$7,413$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
$2,344.23 / $7,413.10 / $13,182.57
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$269.15 / $269.15 / $323.59
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$436.52 / $436.52 / $2,290.87
Cigna
Facility/Professional
Facility
Modifier
52
Typical Low / Median / Typical High
$346.74 / $346.74 / $346.74
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,388.44 / $8,511.38 / $15,848.93
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,621.81 / $2,454.71 / $9,332.54