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Adenoid Removal In A Child

North Dakota rates for HCPCS 42830

Surgical removal of the adenoids, small tissue pads located behind the nose at the back of the throat, in a child having the surgery for the first time. It is typically done to relieve chronic nasal blockage, recurring ear infections, or breathing problems during sleep caused by enlarged adenoids.

Rates data updated July 2026.

How much does Adenoid Removal In A Child cost?

$427

Typical negotiated rate. In North Dakota, July 2026.

Insurers have agreed to pay about $427 for this service. The price depends on where it is billed: about $407 from a physician practice, and about $3,388 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 5 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$407$209 to $550
FacilityA hospital or hospital-owned outpatient department$3,388$1,023 to $6,457

How much rates vary

Facilitymedian $3,388 · 10th to 90th $209 to $7,943Professionalmedian $407 · 10th to 90th $204 to $589
$200$500$1K$2K$5Kfacility $3,388professional $407

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$3,388.44
Typical High
$7,943.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$239.88
Typical High
$602.56
BCBS
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$478.63
Typical High
$562.34
Cigna
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$416.87
Typical High
$630.96
Medica
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$371.54
Typical High
$4,365.16
Medica
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$331.13
Typical High
$1,584.89
United
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$4,677.35
Typical High
$6,606.93
United
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$295.12
Typical High
$501.19

Where North Dakota sits

The same service costs 2.5 times more in Wyoming than in Vermont. 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.

North Dakota· 9th of 51

$427

WY $562VT $229

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.