# CPT 42700: Incision and drainage of peritonsillar abscess

Medicare CPT 42700 pays $199.07 in a non-facility setting and $128.26 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $175.69 in Arkansas to $231.23 in Alaska, a 32% spread.

Web page: https://www.med-reveal.com/rates/42700-cpt-fee-schedule
Section: Surgery and Procedures

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $199.07 |
| National facility | $128.26 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $231.23 | $155.82 |
| District of Columbia | $227.19 | $143.77 |
| California | $221.96 | $138.17 |
| New York | $220.49 | $141.49 |
| New Jersey | $219.72 | $139.99 |
| Washington | $217.99 | $137.26 |
| Massachusetts | $216.05 | $136.50 |
| Hawaii | $214.04 | $133.53 |
| Connecticut | $212.45 | $136.19 |
| Florida | $207.74 | $136.70 |
| Colorado | $206.52 | $131.18 |
| Maryland | $206.23 | $132.41 |
| Oregon | $204.38 | $129.78 |
| Rhode Island | $203.65 | $130.51 |
| New Hampshire | $203.56 | $129.84 |
| Illinois | $202.59 | $134.16 |
| Puerto Rico | $200.43 | $128.85 |
| Virgin Islands | $200.43 | $128.85 |
| Montana | $199.05 | $128.24 |
| Nevada | $197.76 | $126.87 |
| Pennsylvania | $197.37 | $128.01 |
| Minnesota | $196.90 | $124.03 |
| Delaware | $196.83 | $126.87 |
| Wyoming | $196.81 | $126.00 |
| Texas | $196.64 | $126.93 |
| Georgia | $194.61 | $127.05 |
| Michigan | $194.32 | $127.82 |
| Virginia | $194.21 | $124.60 |
| North Dakota | $193.91 | $123.10 |
| Arizona | $193.60 | $124.99 |
| Vermont | $193.42 | $123.32 |
| South Dakota | $193.30 | $122.49 |
| Utah | $190.03 | $123.47 |
| Maine | $189.77 | $122.12 |
| New Mexico | $189.53 | $124.60 |
| Missouri | $187.74 | $122.76 |
| Louisiana | $187.65 | $123.00 |
| South Carolina | $187.44 | $122.01 |
| Wisconsin | $187.35 | $119.51 |
| Ohio | $187.31 | $122.66 |
| North Carolina | $186.83 | $120.76 |
| West Virginia | $185.00 | $123.47 |
| Indiana | $184.68 | $119.04 |
| Idaho | $183.62 | $118.47 |
| Kentucky | $183.24 | $120.29 |
| Nebraska | $183.20 | $117.84 |
| Tennessee | $182.68 | $118.31 |
| Oklahoma | $182.59 | $119.35 |
| Iowa | $182.28 | $117.49 |
| Kansas | $181.71 | $117.70 |
| Alabama | $178.31 | $116.35 |
| Mississippi | $177.91 | $116.94 |
| Arkansas | $175.69 | $114.86 |

## Related codes

- 40490: Biopsy of lip — https://www.med-reveal.com/rates/40490-cpt-fee-schedule
- 40650: Repair lip, vermilion only — https://www.med-reveal.com/rates/40650-cpt-fee-schedule
- 41010: Frenotomy, lingual — https://www.med-reveal.com/rates/41010-cpt-fee-schedule
- 41112: Excision of lesion of tongue — https://www.med-reveal.com/rates/41112-cpt-fee-schedule
- 41599: Unlisted procedure, tongue/floor of mouth — https://www.med-reveal.com/rates/41599-cpt-fee-schedule
- 42820: Tonsillectomy and adenoidectomy, under age 12 — https://www.med-reveal.com/rates/42820-cpt-fee-schedule
- 42821: Tonsillectomy and adenoidectomy, age 12 or over — https://www.med-reveal.com/rates/42821-cpt-fee-schedule
- 42825: Tonsillectomy alone, under age 12 — https://www.med-reveal.com/rates/42825-cpt-fee-schedule

Commercial negotiated rates for 42700 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules