go back

Surgery To Stop Bleeding At The Back Of The Throat

Virginia rates for HCPCS 42962

Stops bleeding at the back of the mouth and throat, most often after a tonsil operation, by taking the patient back to the operating room. Under anesthesia the surgeon finds the bleeding point, seals or ties it off, and clears any clot from the throat. It is used when pressure, packing and simpler measures have not brought the bleeding under control.

Rates data updated July 2026.

How much does Surgery To Stop Bleeding At The Back Of The Throat cost?

$955

Typical facility fee. In Virginia, July 2026.

Insurers have agreed to pay about $955 for this service. Most negotiated rates run $617 to $3,802.

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 $955 · 10th to 90th $550 to $7,079Professionalmedian $603 · 10th to 90th $447 to $912
$500$1K$2K$5K$10Kfacility $955professional $603

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
$724.44
Median
$3,467.37
Typical High
$8,317.64
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$3,981.07
Typical High
$4,466.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$1,288.25
Typical High
$1,584.89
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$537.03
Typical High
$891.25
Medcost
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$758.58
Typical High
$1,047.13
Medcost
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$676.08
Typical High
$1,047.13
Sentara
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$645.65
Typical High
$2,238.72
United
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$5,754.40
Typical High
$13,182.57

Where Virginia sits

The same service costs 11.5 times more in Wyoming than in Maryland. 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.

Virginia· 42nd of 50

$955

WY $6,761MD $589

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.