go back

South Carolina rates for HCPCS 42831

Adenoidectomy, primary; age 12 or over

Facilitymedian $2,291 · 10th–90th $275–$11,2200%5%10th90th$2,291Professionalmedian $324 · 10th–90th $302–$3550%20%10th90th$324$200.0$500.0$1.0K$2.0K$5.0K$10.0K$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$302.00 / $4,466.84 / $16,595.87
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,995.26 / $4,897.79 / $10,232.93
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$389.05 / $812.83 / $1,819.70
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $323.59 / $354.81
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$229.09 / $309.03 / $489.78
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,995.26 / $10,000.00 / $16,595.87