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Return Surgery to Stop Nasal-Passage Bleeding

New Jersey 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?

$7,481

Typical total for the visit. In New Jersey, July 2026.

Insurers have agreed to pay about $7,481 for this procedure. That total is two separate charges: $562 to the doctor who performs it, and $6,918 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 5 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$562$479 to $759
Facility feeThe hospital or surgery center$6,918$5,129 to $9,333

How much rates vary

Facilitymedian $6,918 · 10th to 90th $3,090 to $10,965Professionalmedian $562 · 10th to 90th $437 to $1,413
$500$1K$2K$5K$10Kfacility $6,918professional $562

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
$4,168.69
Median
$6,918.31
Typical High
$11,748.98
Aetna
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$537.03
Typical High
$5,888.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$645.65
Typical High
$1,258.93
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$630.96
Typical High
$933.25
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$7,079.46
Median
$10,471.29
Typical High
$16,595.87
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$575.44
Typical High
$1,258.93
United
Setting
Facility
Modifier
Global
Typical Low
$1,778.28
Median
$4,897.79
Typical High
$8,511.38
United
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$575.44
Typical High
$1,096.48

Where New Jersey 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

New Jersey· 2nd of 50

$7,481

$562 physician + $6,918 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.