go back

First-Time Removal of the Adenoids

Vermont rates for HCPCS 42831

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.

Facilitymedian $4,169 · 10th–90th $3,802$6,9180%20%40%10th90th$4,169$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$6,918.31
Median
$6,918.31
Typical High
$6,918.31
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,801.89
Median
$3,801.89
Typical High
$4,168.69