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Oregon rates for HCPCS 42842

Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; without closure

Facilitymedian $1,862 · 10th–90th $1,000–$2,5700%20%10th90th$1,862Professionalmedian $1,905 · 10th–90th $1,514–$2,4550%20%40%10th90th$1,905$20.0$200.0$2.0K$20.0K$200.0K

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
$1,584.89 / $2,511.89 / $7,943.28
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,659.59 / $1,659.59 / $1,659.59
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,513.56 / $1,905.46 / $2,454.71
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$933.25 / $1,348.96 / $2,454.71
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,174.90 / $1,949.84 / $2,041.74
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$891.25 / $1,380.38 / $2,454.71
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13,803.84 / $19,054.61 / $22,908.68
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,621.81 / $11,220.18 / $25,703.96