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Return Surgery to Stop Nasal-Passage Bleeding

Washington, DC rates for HCPCS 42972

A procedure to control bleeding from the back of the nose and upper throat area that requires a return trip to the operating room, typically after an earlier attempt to stop the bleeding was not enough. It is a more involved intervention than simple packing or cautery done at bedside. This is often needed after significant nosebleeds or as a complication following other ear, nose, and throat surgery.

Rates data updated July 2026.

How much does Return Surgery to Stop Nasal-Passage Bleeding cost?

$589

Typical physician fee. In Washington, DC, July 2026.

Insurers have agreed to pay about $589 for this service. Most negotiated rates run $525 to $603.

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.

How much rates vary

Facilitymedian $4,074 · 10th to 90th $603 to $7,762Professionalmedian $575 · 10th to 90th $447 to $759
$500$1K$2K$5K$10K$20Kfacility $4,074professional $575

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
$602.56
Median
$4,073.80
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$575.44
Typical High
$602.56
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$524.81
Typical High
$3,311.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$630.96
Typical High
$1,412.54
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$489.78
Typical High
$1,047.13
United
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$6,606.93
Typical High
$26,302.68
United
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$602.56
Typical High
$1,230.27

Where Washington, DC sits

The same service costs 2.9 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.

Washington, DC· 37th of 51

$589

CA $1,445WV $501

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.