42826 (HCPCS) by state — Price Transparency

HCPCS · across United States

42826 — Removal Of Tonsils

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

$3,387 National median

$1,582 – $5,019 IQR (p25 – p75)

2,490 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: $2,511.

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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 42826 (HCPCS), with interquartile range
State	Median	p25	p75
VA	$5,534	$3,326	$9,370
ID	$5,101	$2,746	$7,212
WI	$4,961	$3,149	$7,344
NC	$4,823	$3,222	$4,833
FL	$4,626	$3,068	$9,618
CA	$4,243	$1,261	$5,590
DC	$4,209	$2,588	$6,000
MD	$4,099	$3,144	$4,761
WA	$4,082	$1,528	$8,577
MT	$4,079	$1,767	$9,936
MA	$3,973	$2,552	$5,616
OR	$3,955	$3,568	$7,271
DE	$3,941	$3,619	$5,909
HI	$3,917	$2,278	$4,817
AK	$3,911	$1,255	$9,658
NJ	$3,799	$3,763	$5,749
OK	$3,758	$1,793	$5,963
NY	$3,687	$1,772	$4,459
ND	$3,668	$3,243	$6,987
GA	$3,600	$3,093	$6,316
RI	$3,538	$2,754	$6,555
AZ	$3,538	$2,670	$4,950
IL	$3,535	$1,721	$5,274
SC	$3,445	$2,583	$7,245
NM	$3,422	$2,119	$6,125
CO	$3,421	$1,742	$6,118
SD	$3,411	$3,286	$8,545
CT	$3,387	$1,355	$4,454
WV	$3,351	$2,492	$3,535
PA	$3,338	$2,023	$5,163
NE	$3,319	$2,693	$6,068
TX	$3,303	$993	$4,828
MO	$3,258	$1,839	$4,461
MS	$3,241	$2,850	$5,339
ME	$3,231	$721	$11,646
KY	$3,216	$2,819	$4,779
AL	$3,143	$2,795	$3,952
IA	$3,139	$281	$3,387
KS	$3,124	$1,622	$4,540
OH	$3,091	$1,035	$4,683
LA	$3,028	$2,185	$4,043
NV	$3,010	$1,565	$4,121
AR	$2,980	$1,662	$3,490
TN	$2,970	$2,027	$3,661
UT	$2,778	$202	$4,523
AS	$2,115	$338	$3,891
WY	$1,862	$613	$2,368
MI	$1,774	$242	$3,304
NH	$1,744	$825	$3,879
MN	$1,582	$1,532	$1,615
PR	$752	$664	$791
IN	$690	$347	$3,410
VT	$557	$248	$3,244

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

VA	$5,534	$3,326	$9,370	$8	$16,425	44	71	1,118
ID	$5,101	$2,746	$7,212	$95	$21,850	26	127	1,170
WI	$4,961	$3,149	$7,344	$189	$24,261	84	170	1,829
NC	$4,823	$3,222	$4,833	$219	$23,104	53	136	1,510
FL	$4,626	$3,068	$9,618	$1	$986,568	139	241	5,287
CA	$4,243	$1,261	$5,590	$1	$42,403	205	802	7,158
DC	$4,209	$2,588	$6,000	$286	$19,258	3	7	23
MD	$4,099	$3,144	$4,761	$3,084	$5,404	2 ⚠ thin data	12	20
WA	$4,082	$1,528	$8,577	$51	$28,053	51	112	1,604
MT	$4,079	$1,767	$9,936	$42	$10,145	17	195	521
MA	$3,973	$2,552	$5,616	$1	$50,000	30	175	807
OR	$3,955	$3,568	$7,271	$196	$28,602	27	261	998
DE	$3,941	$3,619	$5,909	$249	$17,295	5	9	35
HI	$3,917	$2,278	$4,817	$29	$10,680	13	29	254
AK	$3,911	$1,255	$9,658	$72	$30,964	6	41	90
NJ	$3,799	$3,763	$5,749	$10	$41,671	51	258	3,540
OK	$3,758	$1,793	$5,963	<$1	$14,405	50	142	810
NY	$3,687	$1,772	$4,459	$7	$35,000	118	399	6,849
ND	$3,668	$3,243	$6,987	$154	$20,949	13	44	185
GA	$3,600	$3,093	$6,316	$186	$50,000	57	103	1,569
RI	$3,538	$2,754	$6,555	$710	$20,935	6	15	94
AZ	$3,538	$2,670	$4,950	$7	$45,599	43	162	1,456
IL	$3,535	$1,721	$5,274	$75	$61,659	87	337	2,544
SC	$3,445	$2,583	$7,245	$1	$46,600	44	69	1,444
NM	$3,422	$2,119	$6,125	$177	$22,491	14	57	274
CO	$3,421	$1,742	$6,118	$49	$29,531	61	116	1,209
SD	$3,411	$3,286	$8,545	$11	$16,360	12	112	491
CT	$3,387	$1,355	$4,454	$380	$16,000	17	22	259
WV	$3,351	$2,492	$3,535	$75	$22,660	20	95	664
PA	$3,338	$2,023	$5,163	$19	$37,907	73	183	2,958
NE	$3,319	$2,693	$6,068	$79	$22,021	30	107	944
TX	$3,303	$993	$4,828	<$1	$99,945	262	478	10,945
MO	$3,258	$1,839	$4,461	$132	$54,814	52	237	2,369
MS	$3,241	$2,850	$5,339	$4	$64,386	24	184	924
ME	$3,231	$721	$11,646	$213	$20,090	22	19	201
KY	$3,216	$2,819	$4,779	$113	$25,735	51	97	1,260
AL	$3,143	$2,795	$3,952	$1	$86,603	45	215	1,242
IA	$3,139	$281	$3,387	<$1	$10,868	52	181	1,601
KS	$3,124	$1,622	$4,540	$75	$22,789	51	294	1,505
OH	$3,091	$1,035	$4,683	$122	$33,206	95	378	2,529
LA	$3,028	$2,185	$4,043	$34	$17,881	35	116	913
NV	$3,010	$1,565	$4,121	$188	$26,822	23	225	738
AR	$2,980	$1,662	$3,490	$66	$27,847	34	305	1,480
TN	$2,970	$2,027	$3,661	$155	$37,123	54	181	2,763
UT	$2,778	$202	$4,523	$46	$12,522	38	163	2,248
AS	$2,115	$338	$3,891	$338	$3,891	1 ⚠ thin data	1	6
WY	$1,862	$613	$2,368	$23	$10,412	15	63	134
MI	$1,774	$242	$3,304	<$1	$21,622	77	385	2,641
NH	$1,744	$825	$3,879	$67	$30,146	14	35	399
MN	$1,582	$1,532	$1,615	$32	$50,000	77	344	4,781
PR	$752	$664	$791	$510	$2,602	2 ⚠ thin data	19	26
IN	$690	$347	$3,410	$59	$23,182	53	207	2,494
VT	$557	$248	$3,244	<$1	$7,450	8	43	199