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Complicated Control of Bleeding in the Throat

Pennsylvania rates for HCPCS 42961

Stops bleeding at the back of the mouth and throat, most often after a tonsil operation, in a situation serious enough to require admission to hospital. The bleeding point is located and sealed, and the person is kept in for observation, fluids, and further treatment as needed. Bleeding in that area can be heavy and can restart without warning.

Rates data updated July 2026.

How much does Complicated Control of Bleeding in the Throat cost?

$4,786

Typical facility fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $4,786 for this service. Most negotiated rates run $1,585 to $7,762.

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 8 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $4,786 · 10th to 90th $676 to $8,710
$500$1K$2K$5K$10K$20Kfacility $4,786

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
$676.08
Median
$5,370.32
Typical High
$8,709.64
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$20,417.38
Median
$21,379.62
Typical High
$57,543.99
Cigna
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$794.33
Typical High
$34,673.69
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$851.14
Typical High
$851.14
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$6,025.60
Typical High
$8,317.64
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$4,786.30
Typical High
$10,471.29
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$3,801.89
Typical High
$6,456.54
United
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$2,570.40
Typical High
$6,165.95

Where Pennsylvania sits

The same service costs 29.5 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.

Pennsylvania· 15th of 50

$4,786

ME $12,303ND $417

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.