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Stopping Bleeding in the Throat

West Virginia 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?

$257

Typical facility fee. In West Virginia, July 2026.

Insurers have agreed to pay about $257 for this service. Most negotiated rates run $158 to $1,413.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $257 · 10th to 90th $158 to $5,129
$200$500$1K$2K$5Kfacility $257

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
$158.49
Median
$158.49
Typical High
$5,128.61
CareSource
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$169.82
Typical High
$204.17
Cigna
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$257.04
United
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$457.09
Typical High
$1,513.56

Where West Virginia sits

The same service costs 79.4 times more in Maine than in North Dakota. 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.

West Virginia· 45th of 50

$257

ME $13,183ND $166

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.