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Return Surgery to Stop Nasal-Passage Bleeding

New York 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?

$5,083

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

Insurers have agreed to pay about $5,083 for this procedure. That total is two separate charges: $617 to the doctor who performs it, and $4,467 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 9 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$617$501 to $891
Facility feeThe hospital or surgery center$4,467$2,630 to $6,607

How much rates vary

Facilitymedian $4,467 · 10th to 90th $741 to $9,120Professionalmedian $617 · 10th to 90th $437 to $1,479
$500$1K$2K$5K$10Kfacility $4,467professional $617

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
$645.65
Median
$4,365.16
Typical High
$10,000.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$575.44
Typical High
$954.99
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$4,786.30
Typical High
$9,120.11
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$478.63
Typical High
$1,000.00
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$1,995.26
Typical High
$8,912.51
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$707.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$776.25
Typical High
$3,715.35
Cigna
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$758.58
Typical High
$1,819.70
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$524.81
Typical High
$1,174.90
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$676.08
Typical High
$1,148.15
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$478.63
Typical High
$478.63
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$588.84
Typical High
$1,071.52
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$660.69
Typical High
$1,348.96
United
Setting
Facility
Modifier
Global
Typical Low
$1,698.24
Median
$3,548.13
Typical High
$8,128.31
United
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$831.76
Typical High
$1,949.84
Univera
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$616.60
Typical High
$2,089.30
Univera
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$616.60
Typical High
$1,348.96

Where New York 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 York· 10th of 50

$5,083

$617 physician + $4,467 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.