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Other Throat, Tonsil or Adenoid Procedure

Florida rates for HCPCS 42999

Covers an operation on the throat, tonsils or adenoids that is unusual enough to have no standard name of its own. The surgeon writes a report describing exactly what was done and why, and that report is used to judge the work involved. What it covers depends entirely on the individual case.

Rates data updated July 2026.

Facilitymedian $2,951 · 10th–90th $603$10,7150%5%10%10th90th$2,951Professionalmedian $407 · 10th–90th $240$6,9180%10%10th90th$407$1.0$5.0$20.0$100.0$500.0$2.0K$10.0K

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
$602.56
Median
$3,388.44
Typical High
$10,964.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$1,230.27
Typical High
$11,481.54
AvMed
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$4,677.35
Typical High
$12,302.69
Cigna
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$2,691.53
Cigna
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$416.87
Typical High
$1,096.48
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$1,445.44
Median
$2,511.89
Typical High
$4,365.16
Molina
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$302.00
Typical High
$457.09
United
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$1,288.25
Typical High
$3,890.45
United
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$60.26
Typical High
$64.57
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$239.88
Typical High
$251.19