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Return Surgery to Stop Nasal-Passage Bleeding

Maryland 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?

$537

Typical physician fee. In Maryland, July 2026.

Insurers have agreed to pay about $537 for this service. Most negotiated rates run $479 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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $759 · 10th to 90th $437 to $1,622Professionalmedian $537 · 10th to 90th $468 to $776
$500$1K$2K$5Kfacility $759professional $537

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
Professional
Modifier
Global
Typical Low
$467.74
Median
$524.81
Typical High
$707.95
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$512.86
Typical High
$758.58
Cigna
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$1,479.11
Typical High
$2,454.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$602.56
Typical High
$977.24
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$512.86
Typical High
$776.25
United
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$524.81
Typical High
$1,318.26
United
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$588.84
Typical High
$1,047.13
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$537.03
Typical High
$676.08

Where Maryland 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.

Maryland· 50th of 51

$537

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.