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Removal Of The Tongue-Base Tonsil Tissue

Georgia rates for HCPCS 42870

Removes or destroys the tonsil tissue that sits at the very back of the tongue, working through the open mouth. It may be cut away, or treated with heat, laser or a similar method. It is done for enlarged tissue there that blocks breathing during sleep, causes repeated infection or makes swallowing difficult.

Rates data updated July 2026.

How much does Removal Of The Tongue-Base Tonsil Tissue cost?

$4,365

Typical facility fee. In Georgia, July 2026.

Insurers have agreed to pay about $4,365 for this service. Most negotiated rates run $1,820 to $6,166.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $4,365 · 10th to 90th $832 to $7,943Professionalmedian $724 · 10th to 90th $562 to $1,380
$200.0$500.0$1.0K$2.0K$5.0K$10.0K$20.0Kfacility $4,365professional $724

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$5,370.32
Typical High
$9,549.93
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$2,951.21
Typical High
$7,762.47
Cigna
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$831.76
Typical High
$3,715.35
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$724.44
Typical High
$1,380.38
United
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$3,235.94
Typical High
$6,309.57

Where Georgia sits

The same service costs 20.9 times more in Indiana than in North Dakota. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Georgia $4,365 · 15th of 50
IN $12,303ND $589

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.