Cost of a Tonsillectomy Visit
in Alaska
Reviewed by Momentary Medical Group West PC
Alaska's vast geography and limited provider network contribute to healthcare costs that run approximately 35% above the national average, with tonsillectomy procedures no exception. Patients typically pay between $85 and $768 for tonsillectomy services, with a median cost of $372 based on negotiated insurance rates from 48 active providers across the state. Alaska maintains a modest but dedicated network of tonsillectomy specialists, and patients can browse all available providers statewide to compare costs and credentials.
Average
$408
Median
$372
Lowest
$85
Highest
$768
Providers
48
3% below national average
Compare Similar Procedures
How does tonsillectomy compare to related procedures in Alaska?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Knee Replacement Total knee replacement (arthroplasty) | 27447 | $1,136 | $1,871 | $6,450 | 35 |
| Hip Replacement Total hip replacement (arthroplasty) | 27130 | $1,137 | $1,818 | $6,292 | 39 |
| Cataract Surgery Cataract extraction with intraocular lens insertion | 66984 | $85 | $697 | $2,135 | 50 |
| Knee Arthroscopy Arthroscopy of the knee with meniscectomy | 29881 | $80 | $80 | $1,127 | 352 |
| Gallbladder Removal (Laparoscopic) Laparoscopic cholecystectomy | 47562 | $80 | $80 | $913 | 359 |
| Appendectomy (Laparoscopic) Laparoscopic appendectomy | 44970 | $80 | $80 | $1,339 | 374 |
| Hysterectomy (Laparoscopic) Laparoscopic total hysterectomy | 58571 | $85 | $1,023 | $4,191 | 51 |
| Septoplasty Nasal septum repair | 30520 | $80 | $80 | $1,251 | 351 |
| Inguinal Hernia Repair Inguinal hernia repair | 49505 | $440 | $684 | $2,338 | 37 |
| Mastectomy Partial or simple mastectomy | 19301 | $85 | $838 | $2,902 | 52 |
| Carpal Tunnel Surgery Open carpal tunnel release | 64721 | $364 | $561 | $1,957 | 34 |
Important: These are cost estimates only — not a quote and not medical advice.
The prices on this page are self-pay rates, drawn from federal Transparency in Coverage machine-readable files (CPT 42820 — Tonsillectomy and adenoidectomy). They represent what a patient might pay without insurance.
Your actual cost depends on: your specific insurance plan, your remaining deductible, your coinsurance percentage, whether you have met your out-of-pocket maximum, whether the facility and provider are both in-network, and any separate anesthesia or implant fees billed independently.
This page does not constitute medical advice. Whether you need this procedure, and which approach is right for you, is a decision to make with a licensed healthcare provider.
Where this data comes from & what CPT 42820 covers
Data source: Cost figures are derived from UnitedHealthcare Transparency in Coverage machine-readable files for CPT code 42820 (Tonsillectomy and adenoidectomy), as mandated by the CMS Price Transparency Rule.
What CPT 42820 covers: the provider's professional fee for tonsillectomy. It does not include facility/hospital fees, anesthesia, pre-operative imaging, post-operative care, or any add-on codes billed separately.
How to read this data
Negotiated Rate
The discounted price an insurer has agreed to pay a specific provider. Most insured patients' bills are calculated from this number, not the higher list price hospitals publish separately.
P5, Median, P95
P5 is the rate at the 5th percentile (low end), Median is the middle value, and P95 is the 95th percentile (high end). This range shows how much the same visit can vary between providers.
What this does not tell you
These rates do not tell you what you personally will pay out of pocket. That depends on your specific plan, how much of your deductible you have already met, your coinsurance rate, and whether the provider is in your network. Call your insurer's member line to get your exact estimate.
Why Tonsillectomy Visit Costs Vary Across Alaska
Alaska's healthcare costs run approximately 35% above national averages due to geographic isolation, limited provider competition, and high operational expenses. The state's unique challenges include transporting medical supplies, recruiting specialists to remote locations, and maintaining equipment in extreme weather conditions.
Urban vs. Rural Provider Availability
Most of Alaska's 48 tonsillectomy providers concentrate in the Anchorage-Mat-Su region, with limited options in Fairbanks and virtually no specialists in rural communities. Patients from remote areas often travel hundreds of miles for specialist care, adding transportation and lodging costs to medical expenses.
Facility Type and Overhead Costs
Hospital-owned ENT clinics dominate Alaska's market, with Providence Alaska Medical Center and Alaska Regional Hospital operating most specialist practices in Anchorage. These systems can leverage economies of scale but often maintain higher overhead costs than independent practices, influencing negotiated rates with insurers.
Insurance Market Competition in Alaska
Premera's market dominance limits competitive pressure on negotiated rates, though this also creates more predictable pricing across providers. The concentrated insurance market means fewer plan options but more standardized coverage policies for specialty services like tonsillectomy procedures.
Physician Supply and Demand in Alaska
With 48 active tonsillectomy providers serving over 730,000 residents, Alaska maintains adequate specialist coverage in urban areas but faces shortages in rural regions. This supply-demand imbalance drives longer wait times for non-urgent cases and supports premium pricing for specialist services throughout the state.
Jayant Panwar
CEO, Momentary Labs · San Francisco, CA
Jayant has analyzed healthcare pricing data from CMS Transparency in Coverage files since 2022, covering more than 50 million negotiated rate records across all 50 states. His work focuses on making insurer machine-readable files accessible to patients and researchers.
The cost figures on this page reflect his ongoing work to make this data accessible to patients.
Frequently Asked Questions — Tonsillectomy Costs in Alaska
What is the average cost of a Tonsillectomy visit in Alaska without insurance?
Does Alaska Medicaid cover Tonsillectomy visits?
How do I find an affordable Tonsillectomy near me in Alaska?
What is the difference in cost between an initial consultation and a follow-up visit?
Can I use an HSA or FSA to pay for a Tonsillectomy visit in Alaska?
How does telemedicine affect the cost of seeing a Tonsillectomy in Alaska?
Click a state to compare costs
Average Visit Cost
Office visit (CPT 42820)
Compare With Other States
| Rank | State | Average↓ |
|---|---|---|
| 1 | Wisconsin Range: $95 – $1,404 | $682 |
| 2 | Massachusetts Range: $219 – $1,237 | $637 |
| 3 | Wyoming Range: $351 – $894 | $575 |
| 4 | Nebraska Range: $347 – $705 | $564 |
| 5 | New Hampshire Range: $290 – $831 | $556 |
| 6 | Georgia Range: $196 – $981 | $552 |
| 7 | Washington Range: $324 – $889 | $549 |
| 8 | Maine Range: $342 – $578 | $498 |
| 9 | North Dakota Range: $237 – $820 | $485 |
| 10 | Iowa Range: $95 – $705 | $480 |
| 11 | North Carolina Range: $217 – $820 | $478 |
| 12 | Rhode Island Range: $239 – $742 | $474 |
| 13 | District of Columbia Range: $220 – $681 | $460 |
| 14 | New Mexico Range: $253 – $694 | $459 |
| 15 | South Dakota Range: $197 – $705 | $438 |
| 16 | Missouri Range: $268 – $559 | $436 |
| 17 | Connecticut Range: $194 – $742 | $432 |
| 18 | New Jersey Range: $170 – $833 | $425 |
| 19 | Oregon Range: $85 – $774 | $424 |
| 20 | Vermont Range: $220 – $693 | $418 |
| 21 | Minnesota Range: $94 – $705 | $415 |
| 22 | Mississippi Range: $230 – $725 | $412 |
| 23 | Utah Range: $85 – $643 | $408 |
| 24 | Alaska Range: $85 – $768 | $408 |
| 25 | New York Range: $203 – $742 | $407 |
| 26 | Pennsylvania Range: $149 – $742 | $402 |
| 27 | Michigan Range: $238 – $559 | $402 |
| 28 | Illinois Range: $253 – $596 | $396 |
| 29 | West Virginia Range: $85 – $748 | $396 |
| 30 | Delaware Range: $154 – $698 | $390 |
| 31 | Colorado Range: $85 – $694 | $388 |
| 32 | Alabama Range: $195 – $615 | $387 |
| 33 | Tennessee Range: $234 – $559 | $386 |
| 34 | Idaho Range: $85 – $679 | $384 |
| 35 | Hawaii Range: $85 – $665 | $383 |
| 36 | South Carolina Range: $194 – $644 | $381 |
| 37 | Kentucky Range: $85 – $679 | $374 |
| 38 | Maryland Range: $226 – $607 | $368 |
| 39 | Virginia Range: $192 – $589 | $362 |
| 40 | Indiana Range: $85 – $649 | $360 |
| 41 | Kansas Range: $268 – $463 | $359 |
| 42 | Louisiana Range: $189 – $530 | $355 |
| 43 | Oklahoma Range: $232 – $540 | $354 |
| 44 | California Range: $80 – $705 | $350 |
| 45 | Arkansas Range: $85 – $561 | $348 |
| 46 | Texas Range: $85 – $597 | $332 |
| 47 | Nevada Range: $228 – $481 | $331 |
| 48 | Montana Range: $85 – $581 | $326 |
| 49 | Arizona Range: $240 – $480 | $320 |
| 50 | Ohio Range: $85 – $559 | $313 |
| 51 | Florida Range: $35 – $505 | $198 |
