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Removal Of The Side Wall Of The Throat

Colorado rates for HCPCS 42892

Removes a section of the side wall of the throat, including the pyriform sinus — the recess beside the voice box that food passes through on its way down. The gap left behind is closed by advancing the neighbouring walls of the throat and stitching them together, without bringing in tissue from elsewhere in the body. Swallowing is retrained afterwards as the area heals.

Rates data updated July 2026.

How much does Removal Of The Side Wall Of The Throat cost?

$6,761

Typical facility fee. In Colorado, July 2026.

Insurers have agreed to pay about $6,761 for this service. Most negotiated rates run $3,090 to $11,749.

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 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $6,761 · 10th to 90th $1,995 to $17,378Professionalmedian $2,344 · 10th to 90th $1,660 to $7,244
$2K$5K$10K$20Kfacility $6,761professional $2,344

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$5,495.41
Typical High
$11,481.54
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$11,481.54
Typical High
$19,498.45
Cigna
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$891.25
Typical High
$5,248.07
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$2,290.87
Typical High
$3,715.35
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1,659.59
Median
$2,344.23
Typical High
$7,244.36
Select Health
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$3,090.30
Typical High
$3,467.37
United
Setting
Facility
Modifier
Global
Typical Low
$5,128.61
Median
$11,481.54
Typical High
$17,378.01

Where Colorado sits

The same service costs 11.2 times more in Indiana than in Maine. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Colorado· 13th of 50

$6,761

IN $15,136ME $1,349

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.