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Return Surgery to Stop Nasal-Passage Bleeding

Massachusetts 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?

$3,421

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

Insurers have agreed to pay about $3,421 for this procedure. That total is two separate charges: $603 to the doctor who performs it, and $2,818 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 8 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 $977
Facility feeThe hospital or surgery center$2,818$1,445 to $3,890

How much rates vary

Facilitymedian $2,818 · 10th to 90th $513 to $5,623Professionalmedian $603 · 10th to 90th $468 to $1,445
$500$1K$2K$5K$10K$20K$50Kfacility $2,818professional $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
$1,778.28
Median
$3,311.31
Typical High
$4,897.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$524.81
Typical High
$1,348.96
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$3,630.78
Typical High
$45,708.82
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$776.25
Typical High
$3,715.35
BCBS
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$1,659.59
Typical High
$1,659.59
Cigna
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$741.31
Typical High
$3,090.30
Cigna
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$676.08
Typical High
$1,318.26
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$630.96
Typical High
$3,311.31
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$602.56
Typical High
$933.25
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$3,162.28
Typical High
$8,511.38
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$812.83
Typical High
$1,258.93
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$3,630.78
Typical High
$45,708.82
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$776.25
Typical High
$3,715.35
United
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$3,548.13
Typical High
$8,511.38
United
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$851.14
Typical High
$1,479.11

Where Massachusetts 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

Massachusetts· 25th of 50

$3,421

$603 physician + $2,818 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.