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Virginia rates for HCPCS 42870

Excision or destruction lingual tonsil, any method (separate procedure)

Facilitymedian $1,096 · 10th–90th $589–$7,9430%5%10%10th90th$1,096Professionalmedian $692 · 10th–90th $537–$1,0230%20%10th90th$692$500.0$1.0K$2.0K$5.0K$10.0K$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
$707.95 / $5,128.61 / $8,317.64
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,606.93 / $7,413.10 / $9,332.54
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$489.78 / $2,951.21 / $3,311.31
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524.81 / $660.69 / $1,071.52
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$602.56 / $691.83 / $933.25
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$537.03 / $758.58 / $1,174.90
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$549.54 / $724.44 / $2,570.40
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,348.96 / $5,495.41 / $12,882.50