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Return Surgery to Stop Nasal-Passage Bleeding

Pennsylvania 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?

$4,611

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

Insurers have agreed to pay about $4,611 for this procedure. That total is two separate charges: $537 to the doctor who performs it, and $4,074 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$537$490 to $603
Facility feeThe hospital or surgery center$4,074$2,188 to $6,310

How much rates vary

Facilitymedian $4,074 · 10th to 90th $891 to $8,318Professionalmedian $537 · 10th to 90th $468 to $832
$500$1K$2K$5K$10Kfacility $4,074professional $537

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
$1,023.29
Median
$4,786.30
Typical High
$8,317.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$524.81
Typical High
$758.58
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$3,801.89
Median
$4,466.84
Typical High
$57,543.99
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$724.44
Typical High
$776.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$1,995.26
Typical High
$3,890.45
Cigna
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$602.56
Typical High
$1,000.00
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$1,000.00
Typical High
$1,000.00
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$630.96
Typical High
$933.25
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$1,621.81
Median
$2,238.72
Typical High
$2,570.40
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$537.03
Typical High
$851.14
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$3,890.45
Typical High
$8,317.64
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$562.34
Typical High
$1,737.80
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$602.56
Typical High
$1,174.90
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$1,479.11
Median
$2,570.40
Typical High
$5,128.61
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$501.19
Typical High
$524.81
United
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$2,570.40
Typical High
$9,772.37
United
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$562.34
Typical High
$954.99

Where Pennsylvania 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

Pennsylvania· 15th of 50

$4,611

$537 physician + $4,074 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.