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Stopping Adenoid-Area Bleeding, Straightforward Case

Massachusetts rates for HCPCS 42970

This procedure controls bleeding from the adenoid area at the back of the nasal passage, most often occurring after adenoid removal or a similar procedure in that area. It's used for a straightforward case that can be managed without hospital admission. The bleeding is controlled directly, such as with pressure, cautery, or a topical medication.

Rates data updated July 2026.

Facilitymedian $1,862 · 10th–90th $407$3,7150%5%10%10th90th$1,862Professionalmedian $479 · 10th–90th $372$1,0960%20%10th90th$479$100.0$500.0$2.0K$10.0K$50.0K

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
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$2,238.72
Typical High
$3,715.35
Aetna
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$426.58
Typical High
$1,096.48
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$645.65
Typical High
$2,691.53
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$602.56
Typical High
$3,019.95
BCBS
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$446.68
Cigna
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$218.78
Typical High
$275.42
Cigna
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$537.03
Typical High
$1,096.48
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$524.81
Typical High
$3,311.31
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$501.19
Typical High
$758.58
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$1,819.70
Typical High
$3,467.37
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$645.65
Typical High
$977.24
Health New England
Setting
Facility
Modifier
Global
Typical Low
$3,162.28
Median
$3,162.28
Typical High
$3,162.28
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$645.65
Typical High
$2,691.53
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$602.56
Typical High
$3,019.95
United
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$954.99
Typical High
$2,754.23
United
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$645.65
Typical High
$1,148.15