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Throat Surgery for Snoring and Sleep Apnea

Vermont rates for HCPCS 42145

Removes and reshapes tissue at the back of the throat, including the soft palate and the dangling uvula, and tightens the throat walls so the airway stays open during sleep. It is done for obstructive sleep apnea and heavy snoring caused by tissue collapsing into the airway. The tonsils are often taken out at the same time.

Rates data updated October 2026.

How much does Throat Surgery for Snoring and Sleep Apnea cost?

$1,000

Typical physician fee. In Vermont, October 2026.

Insurers have agreed to pay about $1,000 for this service. Most negotiated rates run $851 to $1,047.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $1,698 · 10th to 90th $661 to $6,761Professionalmedian $1,000 · 10th to 90th $759 to $1,318
$500$1K$2K$5Kfacility $1,698professional $1,000

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$707.95
Median
$776.25
Typical High
$977.24
Cigna
Setting
Facility
Modifier
None
Typical Low
$660.69
Median
$660.69
Typical High
$6,760.83
Cigna
Setting
Professional
Modifier
None
Typical Low
$831.76
Median
$1,047.13
Typical High
$1,047.13
MVP Health Care
Setting
Professional
Modifier
None
Typical Low
$724.44
Median
$1,000.00
Typical High
$1,778.28
United
Setting
Facility
Modifier
None
Typical Low
$1,698.24
Median
$1,698.24
Typical High
$1,698.24
United
Setting
Professional
Modifier
None
Typical Low
$758.58
Median
$977.24
Typical High
$1,445.44

Where Vermont sits

The same service costs 6.2 times more in Alaska than in Texas. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Vermont· 17th of 51

$1,000

AK $2,818TX $457

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.