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Illinois rates for HCPCS 42831

Adenoidectomy, primary; age 12 or over

Facilitymedian $3,890 · 10th–90th $407–$8,9130%10%10th90th$3,890Professionalmedian $407 · 10th–90th $245–$1,1480%10%20%10th90th$407$1.0$5.0$20.0$100.0$500.0$2.0K$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
$407.38 / $3,890.45 / $8,912.51
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,089.30 / $4,265.80 / $5,754.40
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$575.44 / $724.44 / $2,691.53
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $407.38 / $1,148.15
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,698.24 / $3,388.44 / $7,585.78