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Stopping Adenoid-Area Bleeding, Straightforward Case

Maine 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.

How much does Stopping Adenoid-Area Bleeding, Straightforward Case cost?

$501

Typical physician fee. In Maine, July 2026.

Insurers have agreed to pay about $501 for this service. Most negotiated rates run $447 to $741.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $692 · 10th to 90th $692 to $692Professionalmedian $501 · 10th to 90th $417 to $977
$200.0$500.0$1.0K$2.0Kfacility $692professional $501

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$467.74
Typical High
$489.78
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$630.96
Typical High
$954.99
Cigna
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$691.83
Typical High
$691.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$549.54
Typical High
$977.24
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$602.56
Typical High
$1,047.13
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$478.63
Typical High
$891.25
United
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$588.84
Typical High
$1,047.13

Where Maine sits

The same service costs 2.8 times more in California than in West Virginia. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Maine $501 · 27th of 51
CA $1,122WV $407

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.