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Removal of Part of the Throat Wall With Flap Repair

New York rates for HCPCS 42894

Removes a section of the wall of the throat and rebuilds the gap with a flap of the patient's own tissue, moved in with its blood supply so the passage stays open. It is done mainly for cancer involving the throat wall. The tissue removed is examined afterwards.

Rates data updated July 2026.

How much does Removal of Part of the Throat Wall With Flap Repair cost?

$5,623

Typical facility fee. In New York, July 2026.

Insurers have agreed to pay about $5,623 for this service. Most negotiated rates run $3,236 to $9,333.

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 9 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $5,623 · 10th to 90th $2,455 to $12,589
$100.0$1.0K$10.0Kfacility $5,623

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
$2,187.76
Median
$3,548.13
Typical High
$10,232.93
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$7,762.47
Typical High
$13,489.63
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$3,388.44
Median
$3,388.44
Typical High
$37,153.52
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,548.82
Median
$3,630.78
Typical High
$3,630.78
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$2,454.71
Typical High
$5,495.41
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,187.76
Median
$2,187.76
Typical High
$2,187.76
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$2,344.23
Median
$50,118.72
Typical High
$75,857.76
United
Setting
Facility
Modifier
Global
Typical Low
$1,479.11
Median
$4,073.80
Typical High
$9,332.54
Univera
Setting
Facility
Modifier
Global
Typical Low
$1,905.46
Median
$2,818.38
Typical High
$7,244.36

Where New York sits

The same service costs 17.4 times more in Maine than in Wyoming. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

New York $5,623 · 14th of 50
ME $22,387WY $1,288

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.