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Arizona rates for HCPCS 42860

Excision of tonsil tags

Facilitymedian $3,236 · 10th–90th $240–$6,6070%5%10%10th90th$3,236Professionalmedian $214 · 10th–90th $174–$5250%10%20%10th90th$214$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,089.30 / $3,890.45 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $208.93 / $537.03
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$676.08 / $2,630.27 / $4,897.79
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $263.03 / $467.74
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$512.86 / $1,584.89 / $2,570.40
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $229.09 / $416.87
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$181.97 / $234.42 / $3,630.78
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $234.42 / $1,479.11
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,041.74 / $2,818.38 / $5,370.32
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $199.53 / $363.08