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Radical Tonsil Area Removal With Flap Repair

Nevada 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?

$2,455

Typical facility fee. In Nevada, July 2026.

Insurers have agreed to pay about $2,455 for this service. Most negotiated rates run $2,188 to $5,754.

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 $4,365 · 10th to 90th $2,138 to $10,233Professionalmedian $2,188 · 10th to 90th $15 to $3,020
$100$1K$10Kfacility $4,365professional $2,188

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
$2,238.72
Median
$2,344.23
Typical High
$10,232.93
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,677.35
Median
$8,128.31
Typical High
$11,748.98
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$2,187.76
Typical High
$3,019.95
Select Health
Setting
Facility
Modifier
Global
Typical Low
$1,445.44
Median
$1,698.24
Typical High
$1,905.46
United
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$2,041.74
Typical High
$6,606.93

Where Nevada 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.

Nevada· 41st of 50

$2,455

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.