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Oregon rates for HCPCS 42860

Excision of tonsil tags

Facilitymedian $363 · 10th–90th $200$1,6600%20%10th90th$363Professionalmedian $309 · 10th–90th $182$5250%10%20%10th90th$309$5.0$50.0$500.0$5.0K$50.0K$500.0K

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
$380.19 / $512.86 / $13,182.57
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $213.80 / $501.19
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,659.59 / $1,659.59 / $1,659.59
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $363.08 / $524.81
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $380.19 / $478.63
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$190.55 / $275.42 / $457.09
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $346.74 / $512.86
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$251.19 / $363.08 / $389.05
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$181.97 / $275.42 / $457.09
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $380.19 / $524.81
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,413.10 / $10,232.93 / $13,489.63
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $416.87 / $537.03
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,621.81 / $10,000.00 / $14,454.40
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $363.08 / $512.86