Cost of a Tonsillectomy Visit:
$320-$575
How much does a tonsillectomy visit cost? The national median negotiated rate for CPT 42820 is $402, with rates ranging from $320 to $575 across 112,263 providers.
National Median
$402
Low End (P5)
$320
High End (P95)
$575
Providers
112,263
Tonsillectomy Visit Costs by State
Click any state to see detailed tonsillectomy visit pricing. Colors represent the median negotiated rate for CPT 42820.
Median Visit Cost
Tonsillectomy Visit Cost by State: All 50 States Ranked
States ranked from lowest to highest median tonsillectomy visit rate for CPT 42820 (Tonsillectomy and adenoidectomy).
| Rank | State | Average↓ |
|---|---|---|
| 1 | Wisconsin Range: $95 – $1,404 | $547 |
| 2 | Massachusetts Range: $219 – $1,237 | $455 |
| 3 | Wyoming Range: $351 – $894 | $479 |
| 4 | Nebraska Range: $347 – $705 | $640 |
| 5 | New Hampshire Range: $290 – $831 | $545 |
| 6 | Georgia Range: $196 – $981 | $479 |
| 7 | Washington Range: $324 – $889 | $434 |
| 8 | Maine Range: $342 – $578 | $573 |
| 9 | North Dakota Range: $237 – $820 | $399 |
| 10 | Iowa Range: $95 – $705 | $640 |
| 11 | North Carolina Range: $217 – $820 | $396 |
| 12 | Rhode Island Range: $239 – $742 | $441 |
| 13 | District of Columbia Range: $220 – $681 | $479 |
| 14 | New Mexico Range: $253 – $694 | $430 |
| 15 | South Dakota Range: $197 – $705 | $411 |
| 16 | Missouri Range: $268 – $559 | $480 |
| 17 | Connecticut Range: $194 – $742 | $361 |
| 18 | New Jersey Range: $170 – $833 | $273 |
| 19 | Oregon Range: $85 – $774 | $413 |
| 20 | Vermont Range: $220 – $693 | $342 |
| 21 | Minnesota Range: $94 – $705 | $447 |
| 22 | Mississippi Range: $230 – $725 | $279 |
| 23 | Utah Range: $85 – $643 | $497 |
| 24 | Alaska Range: $85 – $768 | $372 |
| 25 | New York Range: $203 – $742 | $276 |
| 26 | Pennsylvania Range: $149 – $742 | $317 |
| 27 | Michigan Range: $238 – $559 | $409 |
| 28 | Illinois Range: $253 – $596 | $339 |
| 29 | West Virginia Range: $85 – $748 | $355 |
| 30 | Delaware Range: $154 – $698 | $319 |
| 31 | Colorado Range: $85 – $694 | $385 |
| 32 | Alabama Range: $195 – $615 | $351 |
| 33 | Tennessee Range: $234 – $559 | $364 |
| 34 | Idaho Range: $85 – $679 | $388 |
| 35 | Hawaii Range: $85 – $665 | $399 |
| 36 | South Carolina Range: $194 – $644 | $307 |
| 37 | Kentucky Range: $85 – $679 | $357 |
| 38 | Maryland Range: $226 – $607 | $271 |
| 39 | Virginia Range: $192 – $589 | $307 |
| 40 | Indiana Range: $85 – $649 | $347 |
| 41 | Kansas Range: $268 – $463 | $345 |
| 42 | Louisiana Range: $189 – $530 | $346 |
| 43 | Oklahoma Range: $232 – $540 | $289 |
| 44 | California Range: $80 – $705 | $265 |
| 45 | Arkansas Range: $85 – $561 | $399 |
| 46 | Texas Range: $85 – $597 | $313 |
| 47 | Nevada Range: $228 – $481 | $284 |
| 48 | Montana Range: $85 – $581 | $313 |
| 49 | Arizona Range: $240 – $480 | $240 |
| 50 | Ohio Range: $85 – $559 | $297 |
| 51 | Florida Range: $35 – $505 | $55 |
Frequently Asked Questions
How much does a tonsillectomy cost without insurance?
How much does a tonsillectomy cost with insurance?
Why do tonsillectomy costs vary by state?
What does CPT code 42820 cover?
What factors affect the cost of a tonsillectomy?
Get Your Personalized Cost Estimate
These are the negotiated rates providers across the US are contracted to accept. Your personal share depends on your deductible and coinsurance. Call your insurer's member line with CPT code 42820 to get your exact estimate or talk to our AI to get your answers.
Written by Jayant Panwar | Last reviewed: Q1 2026
Rates sourced from Transparency in Coverage machine-readable files (Q1 2026). Negotiated rates are contracted prices between insurers and individual providers and do not represent guaranteed patient out-of-pocket costs. Actual costs depend on insurance plan terms, deductible status, coinsurance rate, and specific services received.