Tonsillectomy Cost with Medicare (2026)
Surgical removal of the tonsils.
$5,500
National Avg Cost
$4,400
Medicare Pays
$1,100
Patient Pays
Outpatient
Category
Tonsillectomy Cost by State
| # | State | Average Cost | Medicare Pays | Patient Pays |
|---|---|---|---|---|
| 1 | Michigan | $6,867 | $5,494 | $1,373 |
| 2 | Kansas | $6,850 | $5,480 | $1,370 |
| 3 | Maryland | $6,720 | $5,376 | $1,344 |
| 4 | New Hampshire | $6,698 | $5,358 | $1,340 |
| 5 | Utah | $6,571 | $5,257 | $1,314 |
| 6 | North Carolina | $6,360 | $5,088 | $1,272 |
| 7 | Ohio | $6,337 | $5,070 | $1,267 |
| 8 | Alaska | $6,216 | $4,973 | $1,243 |
| 9 | California | $6,198 | $4,958 | $1,240 |
| 10 | Pennsylvania | $6,136 | $4,908 | $1,227 |
| 11 | Minnesota | $6,114 | $4,891 | $1,223 |
| 12 | Mississippi | $6,100 | $4,880 | $1,220 |
| 13 | Nebraska | $6,050 | $4,840 | $1,210 |
| 14 | Maine | $5,922 | $4,737 | $1,184 |
| 15 | Georgia | $5,881 | $4,705 | $1,176 |
| 16 | Oregon | $5,859 | $4,687 | $1,172 |
| 17 | New Mexico | $5,741 | $4,592 | $1,148 |
| 18 | Missouri | $5,684 | $4,547 | $1,137 |
| 19 | Montana | $5,574 | $4,460 | $1,115 |
| 20 | Virginia | $5,554 | $4,444 | $1,111 |
| 21 | Connecticut | $5,545 | $4,436 | $1,109 |
| 22 | Colorado | $5,516 | $4,413 | $1,103 |
| 23 | Oklahoma | $5,482 | $4,386 | $1,096 |
| 24 | New Jersey | $5,465 | $4,372 | $1,093 |
| 25 | Texas | $5,425 | $4,340 | $1,085 |
| 26 | Rhode Island | $5,360 | $4,288 | $1,072 |
| 27 | Idaho | $5,318 | $4,254 | $1,064 |
| 28 | Washington | $5,279 | $4,223 | $1,056 |
| 29 | Tennessee | $5,262 | $4,210 | $1,052 |
| 30 | Massachusetts | $5,213 | $4,170 | $1,043 |
| 31 | Indiana | $5,177 | $4,142 | $1,035 |
| 32 | Alabama | $5,158 | $4,126 | $1,032 |
| 33 | Vermont | $5,113 | $4,090 | $1,023 |
| 34 | North Dakota | $5,056 | $4,045 | $1,011 |
| 35 | New York | $5,022 | $4,017 | $1,004 |
| 36 | South Dakota | $4,924 | $3,939 | $985 |
| 37 | West Virginia | $4,896 | $3,917 | $979 |
| 38 | Arkansas | $4,793 | $3,834 | $959 |
| 39 | Wyoming | $4,788 | $3,831 | $958 |
| 40 | Hawaii | $4,662 | $3,729 | $932 |
| 41 | Florida | $4,569 | $3,655 | $914 |
| 42 | Iowa | $4,562 | $3,650 | $912 |
| 43 | Arizona | $4,523 | $3,619 | $905 |
| 44 | Delaware | $4,458 | $3,567 | $892 |
| 45 | Wisconsin | $4,449 | $3,559 | $890 |
| 46 | Kentucky | $4,423 | $3,538 | $885 |
| 47 | Louisiana | $4,337 | $3,469 | $867 |
| 48 | South Carolina | $4,300 | $3,440 | $860 |
| 49 | Nevada | $4,238 | $3,390 | $848 |
| 50 | Illinois | $4,210 | $3,368 | $842 |
Frequently Asked Questions
How much does a Tonsillectomy cost with Medicare?
The national average cost for Tonsillectomy is $5,500. Medicare typically pays $4,400, leaving a patient responsibility of $1,100.
Does Medicare cover Tonsillectomy?
Yes, Medicare covers Tonsillectomy. The average Medicare payment is $4,400 out of a total cost of $5,500.
What category is Tonsillectomy?
Tonsillectomy is classified as a outpatient procedure.