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Montana rates for HCPCS 42860

Excision of tonsil tags

Facilitymedian $339 · 10th–90th $224–$4370%20%40%10th90th$339Professionalmedian $234 · 10th–90th $174–$5010%10%10th90th$234$100.0$200.0$500.0$1.0K$2.0K$5.0K$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
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $213.80 / $501.19
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$309.03 / $309.03 / $309.03
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $263.03 / $602.56
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$323.59 / $338.84 / $389.05
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $338.84 / $389.05
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$199.53 / $275.42 / $457.09
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $309.03 / $512.86
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$229.09 / $229.09 / $6,760.83
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $309.03 / $416.87