Other Throat, Tonsil or Adenoid Procedure

Vermont 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 October 2026.

How much rates vary

Facilitymedian $501 · 10th to 90th $468 to $501

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier	Facility/Professional	Modifier	Typical Low	Median	Typical High
Cigna Setting Facility Modifier None Typical Low $467.74 Median $467.74 Typical High $467.74	Facility	None	$467.74	$467.74	$467.74
United Setting Facility Modifier None Typical Low $501.19 Median $501.19 Typical High $501.19	Facility	None	$501.19	$501.19	$501.19