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Repeat Adenoid Removal, Age 12+

Indiana rates for HCPCS 42836

This procedure removes adenoid tissue, glands located behind the nose above the throat, that has regrown or was left behind after an earlier removal. It is performed in a patient who is at least 12 years old. It is typically done when the adenoid tissue causes ongoing nasal blockage, breathing problems during sleep, or repeated ear or sinus infections despite a prior removal.

Rates data updated July 2026.

Facilitymedian $7,762 · 10th–90th $1,380$11,2200%10%10th90th$7,762Professionalmedian $263 · 10th–90th $224$4270%20%10th90th$263$200.0$500.0$1.0K$2.0K$5.0K$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
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$4,897.79
Typical High
$14,125.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$257.04
Typical High
$371.54
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,168.69
Median
$8,317.64
Typical High
$10,964.78
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$302.00
Typical High
$478.63
CareSource
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$251.19
Typical High
$281.84
CareSource
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$213.80
Cigna
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$389.05
Typical High
$1,862.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$331.13
Typical High
$501.19
United
Setting
Facility
Modifier
Global
Typical Low
$1,621.81
Median
$5,370.32
Typical High
$10,715.19
United
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$263.03
Typical High
$416.87