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
Unlisted Procedure Pharynx Adenoids/Tonsils
Low
$0
Average
$1.4k
Median
$816
High
$6.5k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
65 payers; the 90th percentile is 14.3× 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.
Filter by billing methodology
Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | UnitedHealthcare case rate · outpatient · +33 other terms | 429 | $1.5k | $1.7k | $1.5k | 92% | 4–40 | $1 – $22.4k |
| 2 | Premera fee schedule · outpatient · +10 other terms | 11 | $829 | $751 | $246 | 33% | 1–10 | $367 – $1.1k |
| 3 | Carefirst fee schedule · both · +6 other terms | 7 | $4.4k | $3.3k | $1.9k | 57% | 1–10 | $303 – $4.5k |
| 4 | Aetna fee schedule · outpatient · +33 other terms | 448 | $276 | $1.3k | $2.4k | 182% | — | $1 – $21.3k |
| 5 | Blue Cross Blue Shield fee schedule · outpatient · +25 other terms | 345 | $424 | $1.5k | $3.3k | 227% | — | $0 – $26.2k |
| 6 | Humana fee schedule · outpatient · +25 other terms | 278 | $237 | $471 | $989 | 210% | — | $1 – $12.8k |
| 7 | Cigna case rate · outpatient · +29 other terms | 217 | $7.2k | $11.7k | $9.0k | 77% | — | $1 – $40.7k |
| 8 | Molina fee schedule · outpatient · +24 other terms | 151 | $303 | $457 | $510 | 112% | — | $1 – $3.8k |
| 9 | WellCare fee schedule · outpatient · +17 other terms | 141 | $250 | $391 | $603 | 154% | — | $92 – $4.3k |
| 10 | Oscar case rate · outpatient · +15 other terms | 130 | $2.5k | $2.6k | $812 | 31% | — | $363 – $7.5k |
| 11 | Anthem fee schedule · outpatient · +29 other terms | 113 | $257 | $493 | $1.4k | 292% | — | $0 – $13.1k |
| 12 | Kaiser fee schedule · outpatient · +17 other terms | 97 | $343 | $549 | $680 | 124% | — | $25 – $4.3k |
| 13 | Ambetter facility · fee schedule · outpatient · +15 other terms | 85 | $443 | $611 | $987 | 162% | — | $216 – $8.2k |
| 14 | Devoted fee schedule · outpatient · +11 other terms | 67 | $237 | $239 | $13 | 5% | — | $216 – $265 |
| 15 | Optum fee schedule · outpatient · +16 other terms | 56 | $230 | $277 | $132 | 48% | — | $211 – $874 |
| 16 | Tricare fee schedule · outpatient · +16 other terms | 53 | $234 | $596 | $1.3k | 213% | — | $125 – $5.1k |
| 17 | Healthcare Highways case rate · outpatient · +3 other terms | 39 | $5.8k | $6.9k | $5.1k | 73% | — | $2.1k – $14.6k |
| 18 | Superior Healthplan case rate · outpatient · +4 other terms | 38 | $948 | $925 | $103 | 11% | — | $349 – $948 |
| 19 | Caresource fee schedule · outpatient · +13 other terms | 36 | $380 | $623 | $991 | 159% | — | $1 – $4.3k |
| 20 | MultiPlan fee schedule · outpatient · +18 other terms | 34 | $382 | $384 | $27 | 7% | — | $218 – $396 |
| 21 | Clover fee schedule · outpatient · +6 other terms | 32 | $259 | $790 | $1.3k | 168% | — | $214 – $4.4k |
| 22 | Highmark facility · fee schedule · outpatient · +11 other terms | 31 | $270 | $186 | $192 | 103% | — | $19 – $793 |
| 23 | Medica case rate · outpatient · +15 other terms | 28 | $914 | $985 | $683 | 69% | — | $128 – $2.9k |
| 24 | Baylor Scott White Health Plan facility · fee schedule · outpatient · +1 other terms | 25 | $301 | $300 | $60 | 20% | — | $226 – $393 |
| 25 | Bcbs La fee schedule · outpatient · +2 other terms | 25 | $503 | $517 | $157 | 30% | — | $154 – $762 |
← Hospitals reporting CPT 42999 · Snapshot 20261112T124536Z-e251e855