Stopping Bleeding in the Throat

Nationwide rates for HCPCS 42960

Controls bleeding at the back of the mouth and throat, most often after tonsil or adenoid surgery. The bleeding point is found and sealed, for example by cautery or a stitch, and the area is watched to be sure it stays dry. This covers the straightforward version, dealt with without a hospital admission or a return trip to the operating room.

Rates data updated July 2026.

How much does Stopping Bleeding in the Throat cost?

$2,673

Typical total for the visit. Nationwide, July 2026.

Insurers have agreed to pay about $2,673 for this procedure. That total is two separate charges: $219 to the doctor who performs it, and $2,455 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

8% physician fee92% facility fee

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 58 insurance carriers under federal price transparency rules.

What's inside this number

Part of the bill	Who charges it	Typical	Range
Physician feeThe doctor who performs it	The doctor who performs it	$219	$162 to $339
Facility feeThe hospital or surgery center	The hospital or surgery center	$2,455	$550 to $4,677

How much rates vary

Facilitymedian $2,455 · 10th to 90th $204 to $7,943Professionalmedian $219 · 10th to 90th $141 to $589

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	Facility/Professional	Modifier	Typical Low	Median	Typical High
Aetna Setting Facility Modifier Global Typical Low $288.40 Median $3,162.28 Typical High $9,120.11	Facility	Global	$288.40	$3,162.28	$9,120.11
BCBS Setting Facility Modifier Global Typical Low $1,380.38 Median $3,630.78 Typical High $9,332.54	Facility	Global	$1,380.38	$3,630.78	$9,332.54
Cigna Setting Facility Modifier Global Typical Low $257.04 Median $436.52 Typical High $1,318.26	Facility	Global	$257.04	$436.52	$1,318.26
United Setting Facility Modifier Global Typical Low $190.55 Median $954.99 Typical High $3,235.94	Facility	Global	$190.55	$954.99	$3,235.94

What it costs in each state

The same service costs 9.3 times more in California than in Maryland. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Physician feeFacility fee

CA $4,339MD $465

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.