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Return Surgery to Stop Nasal-Passage Bleeding

Maine 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?

$631

Typical physician fee. In Maine, July 2026.

Insurers have agreed to pay about $631 for this service. Most negotiated rates run $550 to $912.

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 $692 · 10th to 90th $692 to $6,761Professionalmedian $631 · 10th to 90th $525 to $1,230
$500$1K$2K$5Kfacility $692professional $631

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$588.84
Typical High
$602.56
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$758.58
Typical High
$1,148.15
Cigna
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$691.83
Typical High
$691.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$676.08
Typical High
$1,202.26
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$724.44
Typical High
$1,258.93
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$602.56
Typical High
$1,071.52
United
Setting
Facility
Modifier
Global
Typical Low
$6,760.83
Median
$6,760.83
Typical High
$6,760.83
United
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$724.44
Typical High
$1,318.26

Where Maine 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.

Maine· 29th of 51

$631

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.