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Return Surgery to Stop Nasal-Passage Bleeding

South Dakota 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?

$1,765

Typical total for the visit. In South Dakota, July 2026.

Insurers have agreed to pay about $1,765 for this procedure. That total is two separate charges: $832 to the doctor who performs it, and $933 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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$832$550 to $1,148
Facility feeThe hospital or surgery center$933$589 to $1,995

How much rates vary

Facilitymedian $933 · 10th to 90th $437 to $4,365Professionalmedian $832 · 10th to 90th $447 to $1,479
$500$1K$2K$5Kfacility $933professional $832

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
$501.19
Median
$3,548.13
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$478.63
Typical High
$645.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,174.90
Typical High
$1,479.11
Medica
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$776.25
Typical High
$1,445.44
Medica
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$812.83
Typical High
$3,801.89
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,174.90
Typical High
$1,174.90
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,047.13
Typical High
$1,047.13
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$831.76
Typical High
$1,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$6,760.83
United
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$776.25
Typical High
$1,380.38
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,148.15
Typical High
$1,148.15

Where South Dakota 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

South Dakota· 41st of 50

$1,765

$832 physician + $933 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.