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Washington, DC rates for HCPCS 42860

Excision of tonsil tags

Facilitymedian $4,074 · 10th–90th $234–$7,7620%10%20%10th90th$4,074Professionalmedian $219 · 10th–90th $174–$3800%20%10th90th$219$200.0$500.0$1.0K$2.0K$5.0K$10.0K$20.0K

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
$234.42 / $4,073.80 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $218.78 / $380.19
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $208.93 / $4,466.84
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $245.47 / $616.60
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $199.53 / $389.05
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,819.70 / $10,000.00 / $25,118.86
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $213.80 / $426.58