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Connecticut rates for HCPCS 42830

Adenoidectomy, primary; younger than age 12

Facilitymedian $6,761 · 10th–90th $3,890–$9,7720%10%10th90th$6,761Professionalmedian $309 · 10th–90th $204–$8710%10%10th90th$309$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
$3,890.45 / $6,760.83 / $9,772.37
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $309.03 / $891.25
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,715.35 / $4,365.16 / $12,022.64
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $371.54 / $562.34
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,000.00 / $2,818.38 / $3,981.07
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $338.84 / $602.56
ConnectiCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,023.29 / $3,548.13 / $3,801.89
ConnectiCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $323.59 / $398.11
Health New England
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,137.96 / $2,137.96 / $2,238.72
Health New England
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $371.54 / $407.38
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,621.81 / $7,079.46 / $11,220.18
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $331.13 / $660.69