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Wide Removal of the Tonsil and Nearby Tissue

Wyoming 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 October 2026.

How much does Wide Removal of the Tonsil and Nearby Tissue cost?

$9,472

Typical total for the visit. In Wyoming, October 2026.

Insurers have agreed to pay about $9,472 for this procedure. That total is two separate charges: $3,162 to the doctor who performs it, and $6,310 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 4 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$3,162$1,950 to $4,074
Facility feeThe hospital or surgery center$6,310$3,467 to $6,310

How much rates vary

Facilitymedian $6,310 · 10th to 90th $2,570 to $7,586Professionalmedian $3,162 · 10th to 90th $1,202 to $4,898
$1K$2K$5K$10Kfacility $6,310professional $3,162

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$1,023.29
Median
$1,023.29
Typical High
$1,023.29
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,023.29
Median
$1,023.29
Typical High
$1,445.44
BCBS Wyoming
Setting
Facility
Modifier
None
Typical Low
$6,309.57
Median
$6,309.57
Typical High
$6,309.57
BCBS Wyoming
Setting
Professional
Modifier
None
Typical Low
$2,630.27
Median
$4,073.80
Typical High
$4,897.79
Cigna
Setting
Facility
Modifier
None
Typical Low
$4,466.84
Median
$7,244.36
Typical High
$10,232.93
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,148.15
Median
$1,348.96
Typical High
$2,398.83
United
Setting
Facility
Modifier
None
Typical Low
$1,698.24
Median
$2,630.27
Typical High
$10,471.29
United
Setting
Professional
Modifier
None
Typical Low
$1,148.15
Median
$1,778.28
Typical High
$3,388.44

Where Wyoming sits

The same service costs 5.1 times more in Alaska than in Kentucky. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Physician feeFacility fee

Wyoming· 2nd of 51

$9,472

$3,162 physician + $6,310 facility

AK $10,335KY $2,034

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.