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Return Surgery to Stop Nasal-Passage Bleeding

Kentucky 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.

Facilitymedian $3,311 · 10th–90th $776$8,5110%5%10%10th90th$3,311Professionalmedian $525 · 10th–90th $447$7590%20%10th90th$525$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$851.14
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$501.19
Typical High
$707.95
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,949.84
Median
$3,630.78
Typical High
$8,511.38
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$524.81
Typical High
$691.83
CareSource
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$537.03
Typical High
$758.58
CareSource
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$588.84
Typical High
$741.31
Cigna
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$776.25
Typical High
$1,862.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$691.83
Typical High
$3,090.30
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$467.74
United
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$2,089.30
Typical High
$4,168.69
United
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$616.60
Typical High
$954.99