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Nationwide rates for HCPCS 42999

Unlisted procedure, pharynx, adenoids, or tonsils

Facilitymedian $3,020 · 10th–90th $501–$9,1200%10%10th90th$3,020Professionalmedian $1,072 · 10th–90th $107–$4,8980%10%10th90th$1,072$0.0$0.5$10.0$200.0$5.0K$100.0K$2.0M

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$891.25 / $3,311.31 / $9,549.93
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $1,202.26 / $4,786.30
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,412.54 / $5,128.61 / $15,135.61
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.02 / $0.02 / $57.54
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$199.53 / $575.44 / $1,202.26
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$102.33 / $416.87 / $1,096.48
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$186.21 / $912.01 / $3,235.94
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $64.57 / $64.57

See more rates by state

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