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Washington rates for HCPCS 42842

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

Facilitymedian $2,344 · 10th–90th $1,230$19,9530%5%10th90th$2,344$1.0K$2.0K$5.0K$10.0K$20.0K$50.0K

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
$1,905.46 / $4,677.35 / $25,703.96
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,715.19 / $15,488.17 / $31,622.78
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$501.19 / $707.95 / $1,659.59
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,096.48 / $2,089.30 / $6,760.83
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,174.90 / $1,949.84 / $2,041.74
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,380.38 / $1,380.38 / $1,380.38
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,715.19 / $16,218.10 / $31,622.78
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,548.82 / $16,982.44 / $33,113.11