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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.

Facilitymedian $724 · 10th–90th $490$5,0120%10%10th90th$724Professionalmedian $832 · 10th–90th $501$1,4450%10%10th90th$832$500.0$1.0K$2.0K$5.0K$10.0K$20.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

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