Cost of a Tonsillectomy Visit
in New Hampshire
Reviewed by Momentary Medical Group West PC
New Hampshire's healthcare costs run approximately 11% above the national average, reflecting the state's limited insurer competition and concentrated provider networks. Tonsillectomy visits in New Hampshire typically cost between $290 and $831, with a median price of $545 based on negotiated insurance rates. The state maintains over 3,600 active providers offering this procedure, giving patients multiple options across New Hampshire's urban centers and rural communities.
Average
$556
Median
$545
Lowest
$290
Highest
$831
Providers
3,657
32% above national average
Compare Similar Procedures
How does tonsillectomy compare to related procedures in New Hampshire?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Knee Replacement Total knee replacement (arthroplasty) | 27447 | $1,433 | $2,439 | $4,078 | 3,658 |
| Hip Replacement Total hip replacement (arthroplasty) | 27130 | $1,434 | $2,442 | $4,083 | 3,670 |
| Cataract Surgery Cataract extraction with intraocular lens insertion | 66984 | $528 | $993 | $1,548 | 3,663 |
| Knee Arthroscopy Arthroscopy of the knee with meniscectomy | 29881 | $573 | $1,014 | $1,631 | 3,662 |
| Gallbladder Removal (Laparoscopic) Laparoscopic cholecystectomy | 47562 | $634 | $1,240 | $1,921 | 3,676 |
| Appendectomy (Laparoscopic) Laparoscopic appendectomy | 44970 | $558 | $1,131 | $1,752 | 3,682 |
| Hysterectomy (Laparoscopic) Laparoscopic total hysterectomy | 58571 | $887 | $1,611 | $2,143 | 3,663 |
| Septoplasty Nasal septum repair | 30520 | $563 | $1,251 | $1,719 | 3,662 |
| Inguinal Hernia Repair Inguinal hernia repair | 49505 | $504 | $981 | $1,521 | 3,656 |
| Mastectomy Partial or simple mastectomy | 19301 | $536 | $1,233 | $1,658 | 3,659 |
| Carpal Tunnel Surgery Open carpal tunnel release | 64721 | $429 | $818 | $1,267 | 3,658 |
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 New Hampshire
These hospitals in New Hampshire are top-rated for patient satisfaction. Review data sourced from HCAHPS Patient Survey.
LITTLETON, NH
LEBANON, NH
DOVER, NH
LEBANON, NH
NEW LONDON, NH
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 New Hampshire
Healthcare costs in New Hampshire run roughly 11% above national averages due to the state's small population, limited insurer competition, and concentration of providers in southern urban corridors. Rural northern counties face particular challenges with specialist access, often requiring patients to travel to Manchester, Nashua, or even Boston for specialized ENT care.
Urban vs. Rural Provider Availability
Most ENT specialists practice along New Hampshire's I-93 corridor from Manchester to Nashua, with additional concentrations around Portsmouth and Concord, leaving vast rural areas underserved. Patients in Coos County or the North Country often face 60-90 minute drives to reach ENT specialists, sometimes opting for providers in Vermont or Maine for convenience despite potential insurance complications.
Facility Type and Overhead Costs
Hospital-owned ENT practices affiliated with systems like Catholic Medical Center or Dartmouth-Hitchcock typically charge 30-50% more than independent surgical groups due to higher facility fees and administrative overhead. Ambulatory surgery centers offer cost-effective alternatives for routine tonsillectomies, though hospital-based procedures may be necessary for patients with complex medical histories or young children requiring specialized anesthesia.
Insurance Market Competition in New Hampshire
Limited competition among Anthem, Harvard Pilgrim, and Cigna in New Hampshire's small insurance market reduces negotiating leverage and can result in higher premiums and more restrictive provider networks. The state's lack of a robust public option or aggressive rate regulation allows insurers to maintain higher reimbursement rates, which ultimately get passed to consumers through increased premiums and cost-sharing.
Physician Supply and Demand in New Hampshire
With over 3,600 providers offering tonsillectomy services across New Hampshire, the state maintains adequate surgical capacity despite its small population, though geographic distribution favors southern counties. This relatively strong provider supply helps moderate costs and reduces wait times compared to neighboring Vermont, though rural residents may still face access barriers requiring travel to urban centers.
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 New Hampshire
What is the average cost of a Tonsillectomy visit in New Hampshire without insurance?
Does New Hampshire Medicaid cover Tonsillectomy visits?
How do I find an affordable Tonsillectomy near me in New Hampshire?
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 New Hampshire?
How does telemedicine affect the cost of seeing a Tonsillectomy in New Hampshire?
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 |