go back

Stopping Adenoid-Area Bleeding, Straightforward Case

New Jersey 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?

$479

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $479 for this service. The price depends on where it is billed: about $447 from a physician practice, and about $5,495 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 5 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$447$380 to $617
FacilityA hospital or hospital-owned outpatient department$5,495$3,548 to $7,079

How much rates vary

Facilitymedian $5,495 · 10th to 90th $1,259 to $10,471Professionalmedian $447 · 10th to 90th $339 to $1,148
$500$1K$2K$5K$10Kfacility $5,495professional $447

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
$2,344.23
Median
$5,888.44
Typical High
$10,964.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$436.52
Typical High
$3,548.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$512.86
Typical High
$1,000.00
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$524.81
Typical High
$758.58
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$741.31
Typical High
$1,071.52
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$467.74
Typical High
$1,023.29
United
Setting
Facility
Modifier
Global
Typical Low
$1,047.13
Median
$2,691.53
Typical High
$6,760.83
United
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$457.09
Typical High
$912.01

Where New Jersey sits

The same service costs 2.8 times more in California than in West Virginia. 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.

New Jersey· 31st of 51

$479

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.