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Radical Tonsil Area Removal With Flap Repair

North Carolina 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.

Facilitymedian $2,884 · 10th–90th $1,862$6,4570%10%20%10th90th$2,884Professionalmedian $3,020 · 10th–90th $3,020$3,0200%50%100%$3,020$1.0$5.0$20.0$100.0$500.0$2.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$2,187.76
Median
$3,548.13
Typical High
$8,709.64
Cigna
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$512.86
Typical High
$35,481.34
Medcost
Setting
Professional
Modifier
Global
Typical Low
$3,019.95
Median
$3,019.95
Typical High
$3,019.95
Medcost
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$2,630.27
Typical High
$4,265.80
United
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$2,511.89
Typical High
$6,309.57
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$13,803.84
Typical High
$13,803.84