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Washington rates for HCPCS 42836

Adenoidectomy, secondary; age 12 or over

Facilitymedian $646 · 10th–90th $316–$16,9820%10%10th90th$646Professionalmedian $339 · 10th–90th $224–$7240%10%20%10th90th$339$20.0$100.0$500.0$2.0K$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$467.74 / $9,332.54 / $20,892.96
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $288.40 / $776.25
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $147.91 / $147.91
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,495.41 / $8,511.38 / $17,378.01
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $467.74 / $630.96
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$416.87 / $1,071.52 / $3,981.07
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $389.05 / $741.31
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$263.03 / $512.86 / $3,467.37
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $436.52 / $1,819.70
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $112.20
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$281.84 / $467.74 / $501.19
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$323.59 / $338.84 / $1,862.09
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $478.63 / $724.44
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,888.44 / $8,912.51 / $17,378.01
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $467.74 / $630.96
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,548.82 / $9,549.93 / $18,620.87
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $338.84 / $630.96
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $257.04 / $467.74