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Return Surgery to Stop Nasal-Passage Bleeding

Illinois 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?

$2,741

Typical total for the visit. In Illinois, July 2026.

Insurers have agreed to pay about $2,741 for this procedure. That total is two separate charges: $603 to the doctor who performs it, and $2,138 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$603$513 to $832
Facility feeThe hospital or surgery center$2,138$1,230 to $4,898

How much rates vary

Facilitymedian $2,138 · 10th to 90th $759 to $7,762Professionalmedian $603 · 10th to 90th $479 to $1,122
$500$1K$2K$5K$10K$20Kfacility $2,138professional $603

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
$676.08
Median
$1,862.09
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$549.54
Typical High
$1,023.29
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$4,786.30
Typical High
$8,511.38
BCBS
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$630.96
Typical High
$831.76
Cigna
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$588.84
Typical High
$2,691.53
Cigna
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$691.83
Typical High
$1,122.02
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$891.25
Typical High
$2,570.40
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$645.65
Typical High
$707.95
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$616.60
United
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$2,818.38
Typical High
$5,128.61
United
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$660.69
Typical High
$1,071.52

Where Illinois sits

The same service costs 8.0 times more in Indiana 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.

Physician feeFacility fee

Illinois· 32nd of 50

$2,741

$603 physician + $2,138 facility

IN $8,312WV $1,038

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.