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Return Surgery to Stop Nasal-Passage Bleeding

North Carolina 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?

$1,556

Typical total for the visit. In North Carolina, July 2026.

Insurers have agreed to pay about $1,556 for this procedure. That total is two separate charges: $832 to the doctor who performs it, and $724 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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$832$589 to $1,072
Facility feeThe hospital or surgery center$724$537 to $1,230

How much rates vary

Facilitymedian $724 · 10th to 90th $490 to $5,012Professionalmedian $832 · 10th to 90th $501 to $1,445
$500$1K$2K$5Kfacility $724professional $832

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
$501.19
Median
$1,778.28
Typical High
$8,709.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$562.34
Typical High
$1,230.27
BCBS
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$891.25
Typical High
$1,445.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$1,445.44
Typical High
$2,570.40
Cigna
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$707.95
Typical High
$1,258.93
Medcost
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$851.14
Typical High
$851.14
Medcost
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$630.96
Typical High
$977.24
Medcost
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$1,288.25
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$575.44
Typical High
$602.56
United
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$2,398.83
Typical High
$6,760.83
United
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$562.34
Typical High
$977.24
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$8,317.64
Median
$8,317.64
Typical High
$45,708.82
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$3,715.35
Median
$3,715.35
Typical High
$4,265.80

Where North Carolina 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

North Carolina· 43rd of 50

$1,556

$832 physician + $724 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.