go back

Tonsil and Adenoid Removal, Under Age 12

Wyoming rates for HCPCS 42820

This surgery removes both the tonsils and adenoids, tissues at the back of the throat and behind the nose that can become chronically infected or enlarged enough to block breathing or cause repeated infections. This version applies to children younger than 12 years old. It's one of the most common surgeries performed on children.

Rates data updated October 2026.

How much does Tonsil and Adenoid Removal, Under Age 12 cost?

$912

Typical negotiated rate. In Wyoming, October 2026.

Insurers have agreed to pay about $912 for this service. The price depends on where it is billed: about $912 from a physician practice, and about $6,310 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$912$562 to $1,175
FacilityA hospital or hospital-owned outpatient department$6,310$3,981 to $6,310

How much rates vary

Facilitymedian $6,310 · 10th to 90th $2,630 to $7,244Professionalmedian $912 · 10th to 90th $363 to $1,413
$500$1K$2K$5K$10Kfacility $6,310professional $912

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
Facility
Modifier
None
Typical Low
$3,090.30
Median
$5,754.40
Typical High
$5,754.40
Aetna
Setting
Professional
Modifier
None
Typical Low
$295.12
Median
$295.12
Typical High
$398.11
BCBS Wyoming
Setting
Facility
Modifier
None
Typical Low
$6,309.57
Median
$6,309.57
Typical High
$6,309.57
BCBS Wyoming
Setting
Professional
Modifier
None
Typical Low
$776.25
Median
$1,174.90
Typical High
$1,412.54
Cigna
Setting
Facility
Modifier
None
Typical Low
$4,466.84
Median
$7,244.36
Typical High
$10,232.93
Cigna
Setting
Professional
Modifier
None
Typical Low
$354.81
Median
$398.11
Typical High
$676.08
United
Setting
Facility
Modifier
None
Typical Low
$1,698.24
Median
$2,630.27
Typical High
$10,471.29
United
Setting
Professional
Modifier
None
Typical Low
$331.13
Median
$512.86
Typical High
$1,023.29

Where Wyoming sits

The same service costs 5.5 times more in Alaska than in Utah. 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.

Wyoming· 2nd of 51

$912

AK $1,202UT $219

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.