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Tonsil and Adenoid Removal, Age 12 and Over

Wyoming rates for HCPCS 42821

Removal of both the tonsils at the back of the throat and the adenoid tissue higher up behind the nose, in a patient aged twelve or older. It is done through the open mouth under general anesthesia with no cuts on the outside, for repeated infections or for breathing that is blocked during sleep. Recovery tends to be more uncomfortable in older patients than in young children.

Rates data updated July 2026.

How much rates vary

Facilitymedian $3,548 · 10th to 90th $2,630 to $10,471
$5K$10Kfacility $3,548

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. 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
Global
Typical Low
$3,311.31
Median
$3,548.13
Typical High
$4,570.88
United
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$6,760.83
Typical High
$10,964.78