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Washington, DC rates for HCPCS 42835

Adenoidectomy, secondary; younger than age 12

Facilitymedian $5,129 · 10th–90th $490–$6,9180%10%20%10th90th$5,129Professionalmedian $224 · 10th–90th $174–$5130%10%10th90th$224$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$489.78 / $5,128.61 / $6,918.31
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $223.87 / $512.86
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $213.80 / $4,677.35
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $245.47 / $616.60
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $204.17 / $398.11
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,819.70 / $10,000.00 / $25,118.86
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $213.80 / $436.52