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Radical Tonsil Area Removal With Flap Repair

South 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.

Rates data updated July 2026.

Facilitymedian $3,090 · 10th–90th $2,138$12,3030%10%20%10th90th$3,090Professionalmedian $2,399 · 10th–90th $2,239$3,0200%50%10th90th$2,399$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
$2,630.27
Median
$9,120.11
Typical High
$22,908.68
BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,309.57
Median
$6,309.57
Typical High
$6,309.57
Cigna
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$562.34
Typical High
$3,388.44
Medcost
Setting
Professional
Modifier
Global
Typical Low
$2,238.72
Median
$2,398.83
Typical High
$3,019.95
Medcost
Setting
Facility
Modifier
Global
Typical Low
$2,089.30
Median
$2,818.38
Typical High
$4,570.88
United
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$6,025.60
Typical High
$9,120.11