go back

Wisconsin rates for HCPCS 42842

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

Facilitymedian $8,511 · 10th–90th $1,778–$16,9820%5%10%10th90th$8,511Professionalmedian $2,138 · 10th–90th $1,175–$3,7150%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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,122.02 / $2,089.30 / $14,454.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,165.95 / $10,232.93 / $18,197.01
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,630.27 / $3,090.30 / $4,897.79
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$912.01 / $1,412.54 / $6,165.95
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$933.25 / $1,659.59 / $8,317.64
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,041.74 / $5,754.40 / $7,762.47
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,174.90 / $2,137.96 / $3,311.31
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,659.59 / $13,803.84 / $13,803.84
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,715.35 / $3,715.35 / $3,715.35
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,570.88 / $7,585.78 / $9,772.37