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Removal Of The Tongue-Base Tonsil Tissue

New York 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.

Facilitymedian $5,623 · 10th–90th $891$12,0230%5%10%10th90th$5,623$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
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$4,365.16
Typical High
$10,000.00
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,890.45
Median
$7,762.47
Typical High
$13,489.63
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$1,995.26
Typical High
$8,912.51
Cigna
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$933.25
Typical High
$5,754.40
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$630.96
Typical High
$1,445.44
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$549.54
Typical High
$549.54
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$50,118.72
Typical High
$75,857.76
United
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$3,981.07
Typical High
$10,471.29
Univera
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$707.95
Typical High
$1,949.84