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Wide Removal of the Tonsil and Nearby Tissue

Wisconsin rates for HCPCS 42842

Removes a tonsil together with the folds of tissue on either side of it and, where involved, the strip of gum behind the last lower molar, taking a margin of surrounding tissue along with the growth. The raw surface is left to heal on its own rather than being covered with tissue moved in from elsewhere. It is used for cancer of that part of the mouth and throat.

Rates data updated July 2026.

Facilitymedian $8,318 · 10th–90th $1,230$16,9820%5%10th90th$8,318Professionalmedian $2,138 · 10th–90th $1,175$3,3110%10%20%10th90th$2,138$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
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$2,089.30
Typical High
$14,454.40
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$10,232.93
Typical High
$18,197.01
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$3,090.30
Typical High
$4,897.79
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$1,412.54
Typical High
$6,165.95
Medica
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$1,659.59
Typical High
$8,317.64
Network Health
Setting
Facility
Modifier
Global
Typical Low
$2,041.74
Median
$5,754.40
Typical High
$7,762.47
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$1,174.90
Typical High
$2,754.23
Quartz
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$2,137.96
Typical High
$3,311.31
Quartz
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$16,982.44
Typical High
$16,982.44
Security Health
Setting
Professional
Modifier
Global
Typical Low
$3,715.35
Median
$3,715.35
Typical High
$3,715.35
United
Setting
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$7,413.10
Typical High
$9,120.11