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Nationwide rates for HCPCS 42970

Control of nasopharyngeal hemorrhage, primary or secondary (eg, postadenoidectomy); simple, with posterior nasal packs, with or without anterior packs and/or cautery

Facilitymedian $2,570 · 10th–90th $427–$7,9430%10%10th90th$2,570Professionalmedian $468 · 10th–90th $380–$1,0230%50%10th90th$468$0.2$5.0$100.0$2.0K$50.0K$1.0M

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$724.44 / $3,162.28 / $9,332.54
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$380.19 / $436.52 / $812.83
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,412.54 / $3,630.78 / $9,332.54
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $446.68 / $870.96
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$112.20 / $602.56 / $1,737.80
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $537.03 / $1,122.02
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$186.21 / $891.25 / $3,162.28
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $512.86 / $954.99

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