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Return Surgery to Stop Nasal-Passage Bleeding

New Mexico 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?

$1,257

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

Insurers have agreed to pay about $1,257 for this procedure. That total is two separate charges: $550 to the doctor who performs it, and $708 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$550$490 to $708
Facility feeThe hospital or surgery center$708$562 to $1,047

How much rates vary

Facilitymedian $708 · 10th to 90th $501 to $2,089Professionalmedian $550 · 10th to 90th $468 to $871
$50$100$200$500$1K$2K$5Kfacility $708professional $550

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
$691.83
Median
$1,548.82
Typical High
$8,709.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$524.81
Typical High
$741.31
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$1,659.59
Typical High
$1,659.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$707.95
Typical High
$977.24
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$741.31
Providence
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$676.08
Typical High
$1,096.48
Providence
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$741.31
Typical High
$1,174.90
United
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$3,630.78
Typical High
$6,760.83
United
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$691.83
Typical High
$1,047.13

Where New Mexico 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 Mexico· 49th of 50

$1,257

$550 physician + $708 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.