CPT 42860
Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
EXCISION OF TONSIL TAGS
Low
$249
Average
$3.1k
Median
$3.2k
High
$8.7k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
61 payers; the 90th percentile is 5.8× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | UnitedHealthcare fee schedule · outpatient · +25 other terms | 490 | $3.2k | $3.6k | $4.3k | 120% | — | $72 – $95.3k |
| 2 | Aetna fee schedule · outpatient · +22 other terms | 443 | $3.4k | $4.2k | $3.6k | 88% | — | $20 – $37.3k |
| 3 | Blue Cross Blue Shield fee schedule · outpatient · +19 other terms | 346 | $4.3k | $5.5k | $3.9k | 72% | — | $1 – $39.1k |
| 4 | Humana fee schedule · outpatient · +19 other terms | 345 | $3.2k | $2.6k | $1.5k | 57% | — | $1 – $12.8k |
| 5 | Cigna case rate · outpatient · +20 other terms | 308 | $6.4k | $7.2k | $5.7k | 79% | — | $1.1k – $40.7k |
| 6 | Molina fee schedule · outpatient · +14 other terms | 208 | $1.6k | $1.8k | $1.7k | 92% | — | $1 – $7.7k |
| 7 | WellCare fee schedule · outpatient · +11 other terms | 157 | $3.3k | $3.4k | $1.2k | 36% | — | $168 – $7.6k |
| 8 | Oscar case rate · outpatient · +13 other terms | 137 | $5.6k | $5.3k | $1.5k | 29% | — | $2.4k – $10.1k |
| 9 | Anthem fee schedule · outpatient · +17 other terms | 127 | $2.2k | $2.4k | $4.0k | 167% | — | $135 – $24.3k |
| 10 | Kaiser fee schedule · outpatient · +10 other terms | 98 | $4.1k | $4.7k | $4.1k | 87% | — | $30 – $22.4k |
| 11 | Healthcare Highways case rate · outpatient · +1 other terms | 76 | $3.7k | $4.2k | $995 | 24% | — | $2.0k – $5.5k |
| 12 | Ambetter fee schedule · outpatient · +11 other terms | 73 | $5.1k | $4.0k | $2.6k | 63% | — | $250 – $8.0k |
| 13 | Aetna Better Health fee schedule · outpatient · +8 other terms | 70 | $1.1k | $1.1k | $395 | 35% | — | $194 – $3.0k |
| 14 | Devoted fee schedule · outpatient · +6 other terms | 69 | $3.3k | $3.0k | $1.0k | 33% | — | $193 – $3.7k |
| 15 | Caresource fee schedule · outpatient · +9 other terms | 40 | $3.2k | $2.4k | $1.5k | 62% | — | $182 – $5.7k |
| 16 | Superior Healthplan case rate · outpatient · +4 other terms | 38 | $948 | $1.0k | $549 | 54% | — | $929 – $4.9k |
| 17 | Optum fee schedule · outpatient · +9 other terms | 36 | $3.2k | $3.6k | $3.0k | 83% | — | $193 – $12.2k |
| 18 | MultiPlan case rate · outpatient · +14 other terms | 34 | $5.7k | $6.8k | $2.7k | 40% | — | $965 – $11.5k |
| 19 | Amerihealth Caritas case rate · outpatient · +6 other terms | 33 | $567 | $4.8k | $4.2k | 88% | — | $536 – $10.5k |
| 20 | Bcbs Tx fee schedule · outpatient · +2 other terms | 33 | $3.9k | $3.8k | $1.8k | 48% | — | $887 – $10.9k |
| 21 | Clover fee schedule · outpatient · +6 other terms | 31 | $3.5k | $3.5k | $202 | 6% | — | $3.0k – $3.8k |
| 22 | First Health fee schedule · outpatient · +14 other terms | 29 | $3.5k | $3.5k | $3.3k | 95% | — | $188 – $10.2k |
| 23 | Medica case rate · outpatient · +9 other terms | 28 | $2.9k | $3.3k | $1.2k | 37% | — | $1.1k – $6.3k |
| 24 | Tricare fee schedule · outpatient · +11 other terms | 28 | $3.8k | $3.7k | $817 | 22% | — | $3.0k – $5.4k |
| 25 | Cigna Healthspring fee schedule · outpatient · +3 other terms | 27 | $931 | $2.0k | $1.1k | 59% | — | $931 – $3.4k |
← Hospitals reporting CPT 42860 · Snapshot 20261113T090226Z-3ce6c0b8