Cost of a Tonsillectomy Visit
in Nevada
Reviewed by Momentary Medical Group West PC
Nevada's healthcare market operates about 8% above national averages, with Las Vegas driving growth in ambulatory surgical centers that often provide more competitive tonsillectomy pricing than traditional hospital settings. Tonsillectomy patients in Nevada typically pay between $227 and $481 based on negotiated insurance rates, with a median cost of $284. With over 2,500 active tonsillectomy providers across the Silver State, patients can browse all available providers to find the most cost-effective option for their surgical needs.
Average
$331
Median
$284
Lowest
$228
Highest
$481
Providers
2,577
21% below national average
Compare Similar Procedures
How does tonsillectomy compare to related procedures in Nevada?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Knee Replacement Total knee replacement (arthroplasty) | 27447 | $1,136 | $1,791 | $2,632 | 2,510 |
| Hip Replacement Total hip replacement (arthroplasty) | 27130 | $1,115 | $1,675 | $2,360 | 2,552 |
| Cataract Surgery Cataract extraction with intraocular lens insertion | 66984 | $415 | $808 | $1,453 | 2,588 |
| Knee Arthroscopy Arthroscopy of the knee with meniscectomy | 29881 | $452 | $648 | $1,051 | 2,525 |
| Gallbladder Removal (Laparoscopic) Laparoscopic cholecystectomy | 47562 | $536 | $706 | $1,081 | 2,469 |
| Appendectomy (Laparoscopic) Laparoscopic appendectomy | 44970 | $464 | $571 | $983 | 2,562 |
| Hysterectomy (Laparoscopic) Laparoscopic total hysterectomy | 58571 | $649 | $825 | $1,500 | 2,555 |
| Septoplasty Nasal septum repair | 30520 | $463 | $628 | $1,103 | 2,534 |
| Inguinal Hernia Repair Inguinal hernia repair | 49505 | $423 | $506 | $859 | 2,511 |
| Mastectomy Partial or simple mastectomy | 19301 | $300 | $508 | $1,022 | 2,445 |
| Carpal Tunnel Surgery Open carpal tunnel release | 64721 | $352 | $439 | $746 | 2,527 |
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 Nevada
These hospitals in Nevada are top-rated for patient satisfaction. Review data sourced from HCAHPS Patient Survey.
LAS VEGAS, NV
N. LAS VEGAS, NV
GARDNERVILLE, NV
Nellis AFB, NV
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 Nevada
Nevada's healthcare costs run approximately 8% above national averages, driven partly by the concentration of providers in Las Vegas and Reno while vast rural areas face limited surgical options. The state's growing ambulatory surgical center market, particularly in Las Vegas, creates competitive pricing pressure that benefits tonsillectomy patients seeking alternatives to hospital-based procedures.
Urban vs. Rural Provider Availability
Las Vegas and Reno account for most of Nevada's tonsillectomy providers, while rural counties often require patients to travel significant distances for surgical care. This geographic concentration creates cost disparities, with rural patients facing higher travel costs but sometimes lower facility fees. Telemedicine consultations help bridge the gap for pre and post-operative care in remote areas.
Facility Type and Overhead Costs
Hospital-owned ENT practices in Nevada typically charge 20-30% more than independent surgical centers due to higher overhead and facility fees. Las Vegas has seen growth in specialty surgical centers focused on outpatient ENT procedures, offering competitive pricing for tonsillectomy. Major health systems like Dignity Health and HCA have significant market presence, which can limit pricing competition in some areas.
Insurance Market Competition in Nevada
UnitedHealthcare, Anthem, and Aetna dominate Nevada's commercial insurance market, with their negotiated rates heavily influencing tonsillectomy pricing across the state. Limited insurer competition in rural Nevada markets can result in less favorable negotiated rates for both providers and patients. The state's Medicaid managed care contracts also impact pricing dynamics for providers serving lower-income populations.
Physician Supply and Demand in Nevada
With over 2,500 active tonsillectomy providers, Nevada maintains adequate surgical capacity in urban areas but faces ENT specialist shortages in rural regions. This supply imbalance creates longer wait times and potentially higher costs in less populated counties. The state's growing population, particularly in Las Vegas, continues to drive demand for ENT surgical services.
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 Nevada
What is the average cost of a Tonsillectomy visit in Nevada without insurance?
Does Nevada Medicaid cover Tonsillectomy visits?
How do I find an affordable Tonsillectomy near me in Nevada?
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 Nevada?
How does telemedicine affect the cost of seeing a Tonsillectomy in Nevada?
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 |