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Return Surgery to Stop Nasal-Passage Bleeding

Ohio 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?

$4,718

Typical total for the visit. In Ohio, July 2026.

Insurers have agreed to pay about $4,718 for this procedure. That total is two separate charges: $550 to the doctor who performs it, and $4,169 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 8 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 $661
Facility feeThe hospital or surgery center$4,169$1,778 to $7,586

How much rates vary

Facilitymedian $4,169 · 10th to 90th $776 to $10,715Professionalmedian $550 · 10th to 90th $447 to $955
$10.0$100.0$1.0K$10.0Kfacility $4,169professional $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
$616.60
Median
$6,025.60
Typical High
$10,964.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$537.03
Typical High
$1,445.44
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$2,511.89
Typical High
$7,943.28
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$537.03
Typical High
$870.96
CareSource
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$537.03
Typical High
$1,737.80
CareSource
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$602.56
Cigna
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$776.25
Typical High
$2,398.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$645.65
Typical High
$1,096.48
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$851.14
Typical High
$2,398.83
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$645.65
Typical High
$1,071.52
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
SummaCare
Setting
Facility
Modifier
Global
Typical Low
$5,128.61
Median
$5,128.61
Typical High
$5,128.61
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$524.81
Typical High
$1,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$2,570.40
Typical High
$6,025.60
United
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$575.44
Typical High
$954.99

Where Ohio sits

The same service costs 8.0 times more in Indiana than in West Virginia. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Physician feeFacility feeOhio $4,718 · 12th of 50
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.