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Radical Tonsil Area Removal With Flap Repair

Oregon 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?

$3,890

Typical facility fee. In Oregon, July 2026.

Insurers have agreed to pay about $3,890 for this service. Most negotiated rates run $2,754 to $4,266.

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 8 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $3,890 · 10th to 90th $2,138 to $5,129Professionalmedian $4,074 · 10th to 90th $3,090 to $4,786
$200$500$1K$2K$5K$10Kfacility $3,890professional $4,074

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
$4,466.84
Median
$5,623.41
Typical High
$7,943.28
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$1,659.59
Typical High
$1,659.59
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$3,090.30
Median
$4,073.80
Typical High
$4,786.30
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$2,041.74
Median
$2,884.03
Typical High
$5,128.61
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$4,265.80
Typical High
$4,365.16
Providence
Setting
Facility
Modifier
Global
Typical Low
$1,949.84
Median
$3,019.95
Typical High
$5,128.61
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$11,748.98
Median
$11,748.98
Typical High
$11,748.98
United
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$8,511.38
Typical High
$31,622.78

Where Oregon 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.

Oregon· 21st of 50

$3,890

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.