Removes the adenoids, the pad of soft immune tissue at the back of the nose above the roof of the mouth, working through the open mouth with no cuts on the outside. It is the first operation on the adenoids, done when they block the nose, disturb sleep, or contribute to repeated ear and sinus trouble. Most patients go home the same day.
Rates data updated July 2026.
How much does First-Time Removal of the Adenoids cost?
$437
Typical facility fee. In North Carolina, July 2026.
Insurers have agreed to pay about $437 for this service. Most negotiated rates run $269 to $5,888.
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.
How much rates vary
Facilitymedian $437 · 10th to 90th $224 to $8,511Professionalmedian $355 · 10th to 90th $355 to $355
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
Facility/Professional
Modifier
Typical LowTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
MedianTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
Typical HighTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
Aetna
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$4,677.35
Typical High
$10,471.29
Facility
Global
$223.87
$4,677.35
$10,471.29
Cigna
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$1,621.81
Typical High
$2,691.53
Facility
Global
$501.19
$1,621.81
$2,691.53
Medcost
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$354.81
Typical High
$354.81
Professional
Global
$354.81
$354.81
$354.81
Medcost
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$288.40
Typical High
$446.68
Facility
Global
$218.78
$288.40
$446.68
United
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$4,265.80
Typical High
$10,232.93
Facility
Global
$870.96
$4,265.80
$10,232.93
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$8,317.64
Median
$8,317.64
Typical High
$33,884.42
Facility
Global
$8,317.64
$8,317.64
$33,884.42
Where North Carolina sits
The same service costs 24.5 times more in Connecticut than in Maryland. 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.