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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.

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

$3,836

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

Insurers have agreed to pay about $3,836 for this procedure. That total is two separate charges: $525 to the doctor who performs it, and $3,311 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$525$490 to $617
Facility feeThe hospital or surgery center$3,311$1,950 to $5,129

How much rates vary

Facilitymedian $3,311 · 10th to 90th $776 to $8,511Professionalmedian $525 · 10th to 90th $447 to $759
$500$1K$2K$5K$10Kfacility $3,311professional $525

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
$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

Where Kentucky 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

Kentucky· 22nd of 50

$3,836

$525 physician + $3,311 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.