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Radical Tonsil Area Removal With Flap Repair

Indiana rates for HCPCS 42845

Removes a cancer involving the tonsil, the folds of tissue around it and the area behind the back teeth, taking a wide margin of surrounding tissue, then rebuilds the site with a flap of tissue brought in from elsewhere in the body. Bringing in tissue with its own blood supply fills the gap and helps swallowing and speech recover. It is a lengthy operation, usually part of a wider cancer treatment plan.

Rates data updated July 2026.

How much does Radical Tonsil Area Removal With Flap Repair cost?

$15,488

Typical facility fee. In Indiana, July 2026.

Insurers have agreed to pay about $15,488 for this service. Most negotiated rates run $10,965 to $22,909.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $15,488 · 10th to 90th $3,090 to $25,704
$2K$5K$10K$20Kfacility $15,488

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$2,187.76
Median
$3,090.30
Typical High
$4,897.79
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$9,549.93
Median
$18,620.87
Typical High
$26,302.68
CareSource
Setting
Facility
Modifier
Global
Typical Low
$2,089.30
Median
$2,187.76
Typical High
$2,454.71
Cigna
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$3,388.44
Typical High
$3,388.44
United
Setting
Facility
Modifier
Global
Typical Low
$2,041.74
Median
$6,025.60
Typical High
$12,882.50

Where Indiana sits

The same service costs 17.4 times more in Maine than in Wyoming. 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.

Indiana· 2nd of 50

$15,488

ME $22,387WY $1,288

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.