42820 (CPT) by state — Price Transparency

CPT · across United States

42820 — Remove Tonsils And Adenoids

State-by-state median negotiated rates. Lower bars are cheaper states; the range bar shows the IQR (25th to 75th percentile within each state).

$5,524 National median

$1,855 – $7,516 IQR (p25 – p75)

2,425 hospitals filing

53 states

View hospital-by-hospital → Raw rate rows →

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Uninsured estimates use the cash / self-pay median for this code: $2,288.

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Median negotiated rate, by state

Ranked by typical (median) negotiated price. Hover for state-level IQR.

Median negotiated rate by state for 42820 (CPT), with interquartile range
State	Median	p25	p75
ID	$9,014	$5,110	$12,784
NC	$8,612	$5,719	$8,629
OR	$8,560	$6,580	$12,752
MT	$7,769	$1,568	$7,769
CA	$7,317	$1,155	$8,675
WA	$7,218	$1,040	$14,529
LA	$7,120	$2,653	$13,081
MA	$7,095	$5,332	$8,558
NJ	$6,864	$5,753	$7,469
DE	$6,821	$6,397	$9,826
RI	$6,656	$4,676	$10,981
FL	$6,367	$2,850	$11,686
WI	$6,305	$5,352	$7,830
ND	$6,211	$5,916	$10,719
NM	$6,208	$2,524	$9,659
IL	$6,167	$1,983	$8,052
SD	$6,095	$4,842	$8,156
CO	$5,945	$2,367	$7,302
VA	$5,939	$3,914	$9,638
WV	$5,925	$3,983	$6,159
PA	$5,923	$2,734	$8,104
GA	$5,913	$3,614	$7,135
ME	$5,840	$4,797	$18,942
KY	$5,812	$4,733	$8,339
CT	$5,767	$1,238	$7,291
NE	$5,765	$3,064	$8,355
MS	$5,725	$4,556	$9,687
OH	$5,638	$2,453	$7,211
IA	$5,594	$870	$6,048
OK	$5,586	$2,601	$7,364
MD	$5,514	$4,826	$5,734
AZ	$5,469	$2,780	$6,494
KS	$5,457	$2,041	$8,132
AR	$5,355	$3,036	$5,724
MO	$5,256	$2,265	$6,331
SC	$5,247	$3,590	$8,432
HI	$5,186	$3,435	$6,993
AL	$5,130	$3,102	$5,692
TX	$5,014	$2,056	$6,340
DC	$4,650	$3,090	$6,144
PR	$4,245	$4,245	$4,302
TN	$4,101	$1,776	$5,672
NY	$3,987	$1,746	$7,000
AK	$3,854	$1,413	$11,063
UT	$3,745	$230	$4,523
MI	$3,236	$344	$5,769
NH	$2,865	$924	$6,726
IN	$2,703	$397	$9,395
NV	$2,700	$1,562	$6,461
AS	$2,136	$382	$3,891
MN	$1,805	$1,748	$1,805
WY	$968	$719	$1,794
VT	$635	$293	$5,862

Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
State	Median	p25	p75	Min	Max	Hospitals	Payers	Rates

ID	$9,014	$5,110	$12,784	$114	$35,623	27	129	1,134
NC	$8,612	$5,719	$8,629	$241	$26,368	53	143	1,487
OR	$8,560	$6,580	$12,752	$169	$51,070	25	54	520
MT	$7,769	$1,568	$7,769	$232	$17,423	17	194	511
CA	$7,317	$1,155	$8,675	$8	$57,076	188	534	5,184
WA	$7,218	$1,040	$14,529	$40	$50,089	48	113	1,595
LA	$7,120	$2,653	$13,081	$40	$17,881	42	153	1,776
MA	$7,095	$5,332	$8,558	$179	$21,370	24	62	438
NJ	$6,864	$5,753	$7,469	$17	$57,023	48	254	3,569
DE	$6,821	$6,397	$9,826	$283	$30,880	5	9	34
RI	$6,656	$4,676	$10,981	$818	$37,381	5	7	70
FL	$6,367	$2,850	$11,686	$79	$986,568	132	209	4,664
WI	$6,305	$5,352	$7,830	$72	$43,319	81	168	1,607
ND	$6,211	$5,916	$10,719	$174	$22,677	13	41	180
NM	$6,208	$2,524	$9,659	$205	$26,001	16	75	309
IL	$6,167	$1,983	$8,052	$125	$35,251	81	251	2,191
SD	$6,095	$4,842	$8,156	$12	$12,294	12	113	575
CO	$5,945	$2,367	$7,302	$206	$26,888	56	77	1,186
VA	$5,939	$3,914	$9,638	$297	$23,414	49	70	1,255
WV	$5,925	$3,983	$6,159	$86	$41,334	17	58	432
PA	$5,923	$2,734	$8,104	$27	$36,849	78	175	3,153
GA	$5,913	$3,614	$7,135	$116	$54,944	57	102	1,544
ME	$5,840	$4,797	$18,942	$240	$35,872	22	19	213
KY	$5,812	$4,733	$8,339	$194	$27,833	45	96	1,195
CT	$5,767	$1,238	$7,291	$434	$16,816	17	23	232
NE	$5,765	$3,064	$8,355	$79	$27,899	40	128	1,057
MS	$5,725	$4,556	$9,687	$4	$54,666	24	193	825
OH	$5,638	$2,453	$7,211	$170	$25,989	88	253	2,215
IA	$5,594	$870	$6,048	$20	$16,654	58	212	1,599
OK	$5,586	$2,601	$7,364	$233	$16,197	50	145	808
MD	$5,514	$4,826	$5,734	$3,145	$8,069	2 ⚠ thin data	12	20
AZ	$5,469	$2,780	$6,494	$255	$44,411	38	146	1,078
KS	$5,457	$2,041	$8,132	$75	$40,689	47	210	1,135
AR	$5,355	$3,036	$5,724	$210	$19,216	32	265	1,325
MO	$5,256	$2,265	$6,331	$5	$41,182	43	227	1,946
SC	$5,247	$3,590	$8,432	$182	$50,000	46	77	1,402
HI	$5,186	$3,435	$6,993	$218	$15,437	12	25	184
AL	$5,130	$3,102	$5,692	$95	$85,054	45	220	1,273
TX	$5,014	$2,056	$6,340	$70	$47,829	263	497	10,513
DC	$4,650	$3,090	$6,144	$2,210	$19,258	2 ⚠ thin data	6	14
PR	$4,245	$4,245	$4,302	$1,200	$4,732	3	7	11
TN	$4,101	$1,776	$5,672	$167	$36,759	52	167	2,677
NY	$3,987	$1,746	$7,000	$27	$46,702	109	306	6,786
AK	$3,854	$1,413	$11,063	$72	$33,106	7	41	82
UT	$3,745	$230	$4,523	$46	$22,358	39	161	2,176
MI	$3,236	$344	$5,769	$93	$18,149	74	375	2,439
NH	$2,865	$924	$6,726	$81	$44,504	13	35	389
IN	$2,703	$397	$9,395	$68	$30,870	54	303	3,015
NV	$2,700	$1,562	$6,461	$280	$45,983	22	223	731
AS	$2,136	$382	$3,891	$382	$3,891	1 ⚠ thin data	1	6
MN	$1,805	$1,748	$1,805	$26	$50,000	77	342	4,643
WY	$968	$719	$1,794	$27	$11,247	13	59	121
VT	$635	$293	$5,862	$168	$8,943	9	44	190