go back

Radical Tonsil Area Removal With Flap Repair

Kansas 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?

$3,311

Typical facility fee. In Kansas, July 2026.

Insurers have agreed to pay about $3,311 for this service. Most negotiated rates run $2,188 to $6,457.

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 $3,311 · 10th to 90th $1,413 to $8,511
$100$200$500$1K$2K$5K$10Kfacility $3,311

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
$2,691.53
Median
$5,623.41
Typical High
$10,471.29
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$1,778.28
Typical High
$2,691.53
Cigna
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$912.01
Typical High
$912.01
Medica
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$2,691.53
Typical High
$4,265.80
United
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$1,949.84
Typical High
$5,011.87

Where Kansas 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.

Kansas· 29th of 50

$3,311

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.