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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 July 2026.

How much rates vary

Facilitymedian $10,471 · 10th to 90th $2,630 to $12,023
$5K$10Kfacility $10,471

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
United
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$10,471.29
Typical High
$12,022.64