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Repeat Adenoid Removal, Age 12+

Wyoming rates for HCPCS 42836

This procedure removes adenoid tissue, glands located behind the nose above the throat, that has regrown or was left behind after an earlier removal. It is performed in a patient who is at least 12 years old. It is typically done when the adenoid tissue causes ongoing nasal blockage, breathing problems during sleep, or repeated ear or sinus infections despite a prior removal.

Rates data updated October 2026.

How much does Repeat Adenoid Removal, Age 12+ cost?

$776

Typical negotiated rate. In Wyoming, October 2026.

Insurers have agreed to pay about $776 for this service. The price depends on where it is billed: about $776 from a physician practice, and about $3,467 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$776$468 to $1,000
FacilityA hospital or hospital-owned outpatient department$3,467$3,020 to $3,467

How much rates vary

Facilitymedian $3,467 · 10th to 90th $2,455 to $3,631Professionalmedian $776 · 10th to 90th $295 to $1,202
$500$1K$2K$5K$10Kfacility $3,467professional $776

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
$245.47
Median
$245.47
Typical High
$245.47
Aetna
Setting
Professional
Modifier
None
Typical Low
$245.47
Median
$245.47
Typical High
$338.84
BCBS Wyoming
Setting
Facility
Modifier
None
Typical Low
$3,467.37
Median
$3,467.37
Typical High
$3,467.37
BCBS Wyoming
Setting
Professional
Modifier
None
Typical Low
$645.65
Median
$1,000.00
Typical High
$1,202.26
Cigna
Setting
Facility
Modifier
None
Typical Low
$2,137.96
Median
$3,548.13
Typical High
$5,011.87
Cigna
Setting
Professional
Modifier
None
Typical Low
$288.40
Median
$331.13
Typical High
$562.34
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
$281.84
Median
$426.58
Typical High
$831.76

Where Wyoming sits

The same service costs 6.0 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

$776

AK $1,000UT $166

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.