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Washington, DC rates for HCPCS 42836

Adenoidectomy, secondary; age 12 or over

Facilitymedian $4,074 · 10th–90th $661–$7,7620%10%10th90th$4,074Professionalmedian $282 · 10th–90th $224–$5370%10%20%10th90th$282$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
$660.69 / $4,073.80 / $6,918.31
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $281.84 / $537.03
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $263.03 / $5,128.61
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $323.59 / $758.58
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $251.19 / $489.78
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
$199.53 / $275.42 / $537.03