Cost of a Tonsillectomy Visit
in Wyoming
Reviewed by Momentary Medical Group West PC
Wyoming's sparse population across 97,814 square miles creates unique challenges for specialized surgical care, with tonsillectomy procedures typically costing between $351 and $894 based on negotiated insurance rates. The state's 175 active tonsillectomy providers serve communities from Cheyenne to Jackson, though costs run approximately 26% above national averages due to limited provider competition and rural access barriers. Patients throughout Wyoming can browse all available providers to find the most cost-effective option for their surgical needs.
Average
$575
Median
$479
Lowest
$351
Highest
$894
Providers
175
37% above national average
Compare Similar Procedures
How does tonsillectomy compare to related procedures in Wyoming?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Knee Replacement Total knee replacement (arthroplasty) | 27447 | $1,657 | $2,271 | $4,492 | 172 |
| Hip Replacement Total hip replacement (arthroplasty) | 27130 | $1,632 | $2,274 | $4,245 | 176 |
| Cataract Surgery Cataract extraction with intraocular lens insertion | 66984 | $667 | $924 | $2,130 | 174 |
| Knee Arthroscopy Arthroscopy of the knee with meniscectomy | 29881 | $648 | $905 | $1,845 | 177 |
| Gallbladder Removal (Laparoscopic) Laparoscopic cholecystectomy | 47562 | $706 | $1,113 | $2,132 | 179 |
| Appendectomy (Laparoscopic) Laparoscopic appendectomy | 44970 | $631 | $1,014 | $1,894 | 180 |
| Hysterectomy (Laparoscopic) Laparoscopic total hysterectomy | 58571 | $952 | $1,535 | $3,043 | 175 |
| Septoplasty Nasal septum repair | 30520 | $714 | $1,070 | $1,996 | 177 |
| Inguinal Hernia Repair Inguinal hernia repair | 49505 | $628 | $880 | $1,642 | 172 |
| Mastectomy Partial or simple mastectomy | 19301 | $747 | $1,105 | $2,064 | 174 |
| Carpal Tunnel Surgery Open carpal tunnel release | 64721 | $519 | $717 | $1,358 | 173 |
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 Wyoming
Wyoming's tonsillectomy costs run 26% above national averages, reflecting the state's rural geography and limited surgical capacity spread across vast distances. The Equality State's 175 active providers serve a population of just 580,000, creating supply constraints that drive up pricing compared to more densely populated regions.
Urban vs. Rural Provider Availability
Cheyenne and Casper offer the most competitive tonsillectomy pricing due to multiple surgical facilities and ENT specialists, while patients in rural areas like the Big Horn Basin may face significantly higher costs and travel requirements. Remote communities often rely on visiting specialists or require patients to travel hundreds of miles to access surgical care, adding transportation and lodging expenses.
Facility Type and Overhead Costs
Hospital-owned surgical centers in Wyoming typically charge premium rates due to higher overhead costs and regulatory requirements compared to independent ambulatory facilities. Major health systems like Banner Health and Cheyenne Regional Medical Center dominate the market, with limited independent surgical competition to drive down facility fees.
Insurance Market Competition in Wyoming
Blue Cross Blue Shield of Wyoming holds the largest market share, followed by UnitedHealthcare and Cigna, creating moderate competition that helps contain some surgical costs. The relatively concentrated insurance market means fewer negotiated rate variations than states with dozens of competing insurers, though major carriers generally secure reasonable surgical rates.
Physician Supply and Demand in Wyoming
With 175 active tonsillectomy providers serving the entire state, Wyoming maintains adequate surgical capacity despite its rural nature, though specialists cluster heavily in Cheyenne, Casper, and Jackson. The reasonable provider-to-population ratio helps prevent extreme price gouging, though travel distances for rural patients remain a significant access barrier that can increase total procedure costs.
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 Wyoming
What is the average cost of a Tonsillectomy visit in Wyoming without insurance?
Does Wyoming Medicaid cover Tonsillectomy visits?
How do I find an affordable Tonsillectomy near me in Wyoming?
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 Wyoming?
How does telemedicine affect the cost of seeing a Tonsillectomy in Wyoming?
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 |