Cost of a Tonsillectomy Visit
in Kansas
Reviewed by Momentary Medical Group West PC
Kansas patients benefit from tonsillectomy costs running approximately 7% below national averages, with negotiated rates typically ranging from $268 to $463 and a median cost of $345. The state's 1,737 active tonsillectomy providers create solid access across both urban centers and rural communities. Patients can browse all qualified providers throughout Kansas to find the most cost-effective option for their specific insurance plan.
Average
$359
Median
$345
Lowest
$268
Highest
$463
Providers
1,737
15% below national average
Compare Similar Procedures
How does tonsillectomy compare to related procedures in Kansas?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Knee Replacement Total knee replacement (arthroplasty) | 27447 | $1,272 | $1,598 | $2,223 | 1,705 |
| Hip Replacement Total hip replacement (arthroplasty) | 27130 | $1,274 | $1,600 | $2,226 | 1,712 |
| Cataract Surgery Cataract extraction with intraocular lens insertion | 66984 | $502 | $718 | $912 | 1,744 |
| Knee Arthroscopy Arthroscopy of the knee with meniscectomy | 29881 | $507 | $639 | $860 | 1,703 |
| Gallbladder Removal (Laparoscopic) Laparoscopic cholecystectomy | 47562 | $623 | $804 | $1,104 | 1,715 |
| Appendectomy (Laparoscopic) Laparoscopic appendectomy | 44970 | $562 | $733 | $1,006 | 1,765 |
| Hysterectomy (Laparoscopic) Laparoscopic total hysterectomy | 58571 | $824 | $1,008 | $1,475 | 1,743 |
| Septoplasty Nasal septum repair | 30520 | $569 | $765 | $981 | 1,700 |
| Inguinal Hernia Repair Inguinal hernia repair | 49505 | $493 | $635 | $872 | 1,699 |
| Mastectomy Partial or simple mastectomy | 19301 | $571 | $722 | $995 | 1,739 |
| Carpal Tunnel Surgery Open carpal tunnel release | 64721 | $402 | $506 | $670 | 1,700 |
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.
Top-Rated Hospitals in Kansas
These hospitals in Kansas are top-rated for patient satisfaction. Review data sourced from HCAHPS Patient Survey.
CLAY CENTER, KS
LEAWOOD, KS
SALINA, KS
WICHITA, KS
HUTCHINSON, KS
Hospital ratings are based on HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems) survey data published by CMS.
Why Tonsillectomy Visit Costs Vary Across Kansas
Kansas tonsillectomy costs run roughly 7% below national averages due to lower operational overhead and moderate physician supply across the state. The state's balanced mix of urban medical centers and rural practices creates varied pricing structures depending on geographic location.
Urban vs. Rural Provider Availability
Wichita and Kansas City metropolitan areas concentrate most ENT specialists, while rural counties may require travel to access pediatric tonsillectomy expertise. Distance to surgical facilities can add transportation costs for families in western Kansas counties. Urban competition tends to moderate pricing compared to areas with limited specialist access.
Facility Type and Overhead Costs
Hospital-owned surgical centers typically charge facility fees in addition to surgeon fees, while independent ambulatory centers may offer bundled pricing. Major health systems like Stormont Vail and The University of Kansas Health System operate throughout the state with varying cost structures. Rural critical access hospitals may refer complex cases to larger metropolitan facilities.
Insurance Market Competition in Kansas
BCBS Kansas holds significant market share alongside UHC and Aetna, providing moderate insurer competition for negotiated rates. Limited carrier options in rural counties can restrict network choices for ENT specialists. Small group and individual market concentration affects pricing leverage compared to states with more robust competition.
Physician Supply and Demand in Kansas
Kansas maintains 1,737 active tonsillectomy providers, indicating adequate supply relative to the state's population of 2.9 million residents. This reasonable physician-to-population ratio helps prevent dramatic pricing premiums seen in shortage areas. Wait times for non-urgent tonsillectomy procedures remain relatively manageable across most regions.
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 Kansas
What is the average cost of a Tonsillectomy visit in Kansas without insurance?
Does Kansas Medicaid cover Tonsillectomy visits?
How do I find an affordable Tonsillectomy near me in Kansas?
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 Kansas?
How does telemedicine affect the cost of seeing a Tonsillectomy in Kansas?
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 |