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California rates for HCPCS 42831

Adenoidectomy, primary; age 12 or over

Facilitymedian $7,413 · 10th–90th $1,445–$15,8490%5%10%10th90th$7,413Professionalmedian $257 · 10th–90th $178–$5250%20%10th90th$257$50.0$200.0$1.0K$5.0K$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
$2,754.23 / $7,585.78 / $19,054.61
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,570.88 / $8,128.31 / $15,848.93
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$85.11 / $6,165.95 / $12,589.25
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$660.69 / $1,659.59 / $2,630.27
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$117.49 / $223.87 / $346.74
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $257.04 / $537.03
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,317.64 / $8,317.64 / $33,884.42
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$218.78 / $302.00 / $478.63
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,090.30 / $7,079.46 / $14,454.40