go back

Return Surgery to Stop Nasal-Passage Bleeding

Texas 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.

Facilitymedian $2,512 · 10th–90th $550$8,3180%5%10th90th$2,512Professionalmedian $550 · 10th–90th $468$8910%20%10th90th$550$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$3,467.37
Typical High
$11,481.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$549.54
Typical High
$794.33
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,949.84
Median
$4,168.69
Typical High
$7,762.47
BCBS
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$588.84
Typical High
$794.33
Christus
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$436.52
Typical High
$457.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$1,862.09
Typical High
$2,691.53
Cigna
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$645.65
Typical High
$1,071.52
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$8,317.64
Median
$45,708.82
Typical High
$45,708.82
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$3,715.35
Median
$4,265.80
Typical High
$4,265.80
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$645.65
Typical High
$1,122.02
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$660.69
Typical High
$1,000.00
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$457.09
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$575.44
Typical High
$602.56
Providence
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$645.65
Typical High
$1,148.15
Providence
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$645.65
Typical High
$1,174.90
United
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$2,187.76
Typical High
$4,570.88
United
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$562.34
Typical High
$870.96
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$426.58
Typical High
$588.84