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Kentucky rates for HCPCS 42860

Excision of tonsil tags

Facilitymedian $3,467 · 10th–90th $631$8,5110%5%10%10th90th$3,467Professionalmedian $204 · 10th–90th $170$3020%20%10th90th$204$50.0$200.0$1.0K$5.0K

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 / $2,630.27 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $204.17 / $295.12
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,290.87 / $3,801.89 / $8,511.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $186.21 / $275.42
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$165.96 / $204.17 / $288.40
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $223.87 / $288.40
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$302.00 / $331.13 / $1,862.09
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $257.04 / $1,230.27
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $123.03
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$575.44 / $3,388.44 / $6,456.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $218.78 / $354.81