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Nationwide rates for HCPCS 42835

Adenoidectomy, secondary; younger than age 12

Facilitymedian $4,571 · 10th–90th $275–$11,2200%10%20%10th90th$4,571Professionalmedian $234 · 10th–90th $174–$5500%50%10th90th$234$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
$537.03 / $4,786.30 / $11,220.18
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $213.80 / $512.86
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,454.71 / $6,456.54 / $12,589.25
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $229.09 / $426.58
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$338.84 / $776.25 / $2,344.23
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $269.15 / $575.44
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,148.15 / $3,890.45 / $9,332.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $245.47 / $457.09

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