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South Carolina rates for HCPCS 42860

Excision of tonsil tags

Facilitymedian $1,660 · 10th–90th $219–$13,8040%5%10%10th90th$1,660Professionalmedian $209 · 10th–90th $174–$3390%10%20%10th90th$209$50.0$200.0$1.0K$5.0K$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
$501.19 / $9,120.11 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $208.93 / $338.84
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,659.59 / $5,128.61 / $10,232.93
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $213.80 / $309.03
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$371.54 / $660.69 / $1,819.70
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $257.04 / $501.19
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $281.84 / $295.12
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$190.55 / $257.04 / $407.38
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,995.26 / $10,000.00 / $16,595.87
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $204.17 / $354.81