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).

$5,527 National median

$1,865 – $7,506 IQR (p25 – p75)

2,504 hospitals filing

54 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	$9,001	$5,037	$12,726
NC	$8,612	$5,550	$8,629
WA	$7,228	$980	$14,552
MA	$7,166	$5,059	$9,477
CA	$7,148	$1,180	$8,595
OR	$6,948	$6,508	$9,057
NJ	$6,864	$5,753	$7,616
DE	$6,821	$6,397	$9,826
RI	$6,656	$4,676	$10,981
ND	$6,459	$5,916	$12,745
FL	$6,354	$2,990	$11,304
IL	$6,167	$2,091	$7,891
NM	$6,153	$2,607	$9,146
SD	$6,089	$4,913	$8,156
WI	$6,048	$4,228	$7,695
CO	$5,945	$2,034	$6,985
VA	$5,939	$3,988	$9,638
PA	$5,936	$2,773	$8,195
WV	$5,926	$2,162	$6,309
AZ	$5,920	$2,776	$6,502
LA	$5,913	$2,448	$12,397
GA	$5,913	$3,669	$7,135
ME	$5,895	$4,569	$18,942
CT	$5,767	$1,238	$7,291
NE	$5,765	$2,975	$8,042
KY	$5,744	$4,436	$8,339
MS	$5,681	$4,556	$9,667
OK	$5,627	$3,066	$7,345
IA	$5,563	$831	$6,048
MD	$5,514	$4,826	$5,734
OH	$5,489	$1,368	$6,522
KS	$5,478	$1,935	$7,751
AR	$5,355	$3,136	$5,724
MO	$5,243	$2,265	$6,331
HI	$5,186	$3,435	$6,993
SC	$5,185	$2,923	$8,367
AL	$5,130	$3,102	$5,653
TX	$5,023	$2,056	$6,384
DC	$4,650	$3,090	$6,144
MT	$4,229	$1,568	$10,302
TN	$3,994	$1,703	$5,639
NY	$3,987	$1,762	$7,024
UT	$3,958	$230	$4,523
AK	$3,854	$1,413	$11,063
PR	$3,500	$3,500	$4,245
MI	$3,236	$357	$5,796
NH	$2,865	$939	$6,704
NV	$2,709	$1,562	$6,451
IN	$2,703	$397	$10,019
AS	$2,136	$382	$3,891
MN	$1,805	$1,748	$1,805
WY	$968	$672	$1,893
GU	$956	$956	$956
VT	$638	$284	$5,918

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	$9,001	$5,037	$12,726	$95	$35,623	28	133	1,157
NC	$8,612	$5,550	$8,629	$241	$26,368	54	145	1,614
WA	$7,228	$980	$14,552	$40	$50,089	50	114	1,617
MA	$7,166	$5,059	$9,477	$179	$50,000	26	62	505
CA	$7,148	$1,180	$8,595	$8	$57,076	194	592	5,621
OR	$6,948	$6,508	$9,057	$169	$51,070	25	253	819
NJ	$6,864	$5,753	$7,616	$17	$57,023	49	254	3,583
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
ND	$6,459	$5,916	$12,745	$174	$23,449	13	44	206
FL	$6,354	$2,990	$11,304	$79	$986,568	136	216	4,836
IL	$6,167	$2,091	$7,891	$137	$35,251	86	327	2,473
NM	$6,153	$2,607	$9,146	$205	$26,001	15	73	306
SD	$6,089	$4,913	$8,156	$12	$12,294	13	117	591
WI	$6,048	$4,228	$7,695	$72	$43,319	83	182	1,815
CO	$5,945	$2,034	$6,985	$206	$26,888	59	119	1,256
VA	$5,939	$3,988	$9,638	$297	$23,414	49	70	1,441
PA	$5,936	$2,773	$8,195	$27	$36,849	78	175	3,165
WV	$5,926	$2,162	$6,309	$86	$41,334	21	75	472
AZ	$5,920	$2,776	$6,502	$255	$44,411	38	150	1,196
LA	$5,913	$2,448	$12,397	$40	$30,046	46	177	1,863
GA	$5,913	$3,669	$7,135	$116	$54,944	57	102	1,576
ME	$5,895	$4,569	$18,942	$240	$35,872	22	19	204
CT	$5,767	$1,238	$7,291	$434	$16,816	17	23	232
NE	$5,765	$2,975	$8,042	$79	$29,380	40	132	1,073
KY	$5,744	$4,436	$8,339	$194	$27,833	47	97	1,214
MS	$5,681	$4,556	$9,667	$4	$54,666	27	193	914
OK	$5,627	$3,066	$7,345	$233	$16,197	53	149	873
IA	$5,563	$831	$6,048	$20	$19,406	61	218	1,714
MD	$5,514	$4,826	$5,734	$3,145	$8,069	2 ⚠ thin data	12	20
OH	$5,489	$1,368	$6,522	$170	$25,989	90	365	2,415
KS	$5,478	$1,935	$7,751	$75	$40,689	48	241	1,237
AR	$5,355	$3,136	$5,724	$210	$19,216	33	259	1,371
MO	$5,243	$2,265	$6,331	$154	$38,147	47	235	2,127
HI	$5,186	$3,435	$6,993	$218	$15,437	12	25	184
SC	$5,185	$2,923	$8,367	$83	$50,000	46	85	1,493
AL	$5,130	$3,102	$5,653	$95	$85,054	47	220	1,319
TX	$5,023	$2,056	$6,384	$66	$47,829	266	506	10,495
DC	$4,650	$3,090	$6,144	$2,210	$19,258	2 ⚠ thin data	6	14
MT	$4,229	$1,568	$10,302	$232	$17,423	17	194	511
TN	$3,994	$1,703	$5,639	$167	$36,759	52	163	2,670
NY	$3,987	$1,762	$7,024	$27	$46,702	119	356	7,358
UT	$3,958	$230	$4,523	$46	$22,358	39	163	2,296
AK	$3,854	$1,413	$11,063	$72	$33,106	7	41	82
PR	$3,500	$3,500	$4,245	$1,200	$4,732	4	22	32
MI	$3,236	$357	$5,796	$93	$19,075	74	377	2,419
NH	$2,865	$939	$6,704	$81	$44,504	14	35	399
NV	$2,709	$1,562	$6,451	$258	$19,451	23	227	723
IN	$2,703	$397	$10,019	$68	$30,870	59	314	3,425
AS	$2,136	$382	$3,891	$382	$3,891	1 ⚠ thin data	1	6
MN	$1,805	$1,748	$1,805	$26	$50,000	78	348	4,698
WY	$968	$672	$1,893	$27	$11,247	14	62	147
GU	$956	$956	$956	$956	$956	1 ⚠ thin data	4	4
VT	$638	$284	$5,918	$160	$8,943	9	46	229