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Return Surgery to Stop Nasal-Passage Bleeding

Virginia 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?

$1,427

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

Insurers have agreed to pay about $1,427 for this procedure. That total is two separate charges: $575 to the doctor who performs it, and $851 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$575$513 to $708
Facility feeThe hospital or surgery center$851$589 to $3,715

How much rates vary

Facilitymedian $851 · 10th to 90th $513 to $7,079Professionalmedian $575 · 10th to 90th $468 to $1,000
$500.0$1.0K$2.0K$5.0K$10.0Kfacility $851professional $575

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
$602.56
Median
$5,011.87
Typical High
$8,912.51
Aetna
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$562.34
Typical High
$891.25
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$3,981.07
Typical High
$4,466.84
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$645.65
Typical High
$1,000.00
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$524.81
Typical High
$1,288.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$1,412.54
Typical High
$1,862.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$602.56
Typical High
$954.99
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$512.86
Typical High
$891.25
Medcost
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$741.31
Typical High
$1,000.00
Medcost
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$660.69
Typical High
$1,023.29
Medcost
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$1,122.02
Sentara
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$630.96
Typical High
$1,949.84
Sentara
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$630.96
Typical High
$1,949.84
United
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$2,884.03
Typical High
$5,754.40
United
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$602.56
Typical High
$1,000.00

Where Virginia 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 feeVirginia $1,427 · 46th 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.