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Nationwide rates for HCPCS 42831

Adenoidectomy, primary; age 12 or over

Facilitymedian $4,365 · 10th–90th $316$10,9650%10%20%10th90th$4,365Professionalmedian $316 · 10th–90th $204$9120%20%10th90th$316$0.2$5.0$100.0$2.0K$50.0K$1.0M

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
$398.11 / $4,365.16 / $10,715.19
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,454.71 / $6,456.54 / $12,589.25
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$389.05 / $977.24 / $2,511.89
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,148.15 / $3,890.45 / $9,332.54