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Stopping Adenoid-Area Bleeding, Straightforward Case

Vermont 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 October 2026.

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

$589

Typical physician fee. In Vermont, October 2026.

Insurers have agreed to pay about $589 for this service. Most negotiated rates run $501 to $617.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $288 · 10th to 90th $50 to $501Professionalmedian $589 · 10th to 90th $437 to $741
$100$200$500$1Kfacility $288professional $589

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$416.87
Median
$436.52
Typical High
$562.34
Cigna
Setting
Facility
Modifier
None
Typical Low
$50.12
Median
$50.12
Typical High
$288.40
Cigna
Setting
Professional
Modifier
None
Typical Low
$512.86
Median
$616.60
Typical High
$616.60
MVP Health Care
Setting
Professional
Modifier
None
Typical Low
$426.58
Median
$588.84
Typical High
$1,047.13
United
Setting
Facility
Modifier
None
Typical Low
$501.19
Median
$501.19
Typical High
$501.19
United
Setting
Professional
Modifier
None
Typical Low
$457.09
Median
$575.44
Typical High
$851.14

Where Vermont sits

The same service costs 4.2 times more in Wyoming than in Utah. 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.

Vermont· 16th of 51

$589

WY $1,288UT $309

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.