Updated January 2026

Tonsillectomy Cost Guide

Surgical removal of the tonsils, often combined with adenoidectomy for sleep apnea treatment.

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2026 Tonsillectomy Cost Summary

Price Range $3,000 - $8,000
Average Cost $5,000
Success Rate 75-82%
Insurance Typically Covered
Recovery Time 1-2 weeks
Dr. Igor I. Bussel, MD
Medically Reviewed by Dr. Igor I. Bussel, MD

Board-Certified Physician | UCI Gavin Herbert Eye Institute | Last Updated: January 2026

What is Tonsillectomy?

Tonsillectomy—often combined with adenoidectomy (T&A)—is the first-line surgical treatment for pediatric obstructive sleep apnea and can also benefit adults with enlarged tonsils. The procedure removes the palatine tonsils (and adenoids if included), which can obstruct the airway during sleep. In children, T&A has cure rates of 50-70%, making it one of the most effective sleep apnea treatments. Adults with visibly enlarged tonsils may also benefit significantly, though success rates are lower than in children.

How Much Does Tonsillectomy Cost in 2026?

The cost of Tonsillectomy surgery ranges from $3,000 to $8,000, with an average cost of approximately $5,000. These costs can vary significantly based on:

  • Geographic location and local cost of living
  • Hospital vs. outpatient surgical center
  • Surgeon's experience and expertise
  • Complexity of your specific case
  • Whether combined with other procedures
  • Your insurance coverage and deductible

Tonsillectomy Success Rates

75-82%
Success Rate
50-70%
Cure Rate
50-75%
AHI Reduction

Who is a Good Candidate?

Best for: Children with OSA, adults with enlarged tonsils

Important Considerations

  • First-line treatment for pediatric sleep apnea
  • Higher success rate in children than adults
  • Often combined with adenoidectomy (T&A)
  • Painful recovery lasting 1-2 weeks
  • Post-operative bleeding risk requires monitoring

Recovery & Downtime

1-2 weeks
Full Recovery
Outpatient or 1 day
Hospital Stay
1-2 weeks
Return to Work

Insurance Coverage

Tonsillectomy is typically covered by insurance when deemed medically necessary for obstructive sleep apnea treatment. Most major insurance companies, including Medicare, cover this procedure when patients meet specific criteria.

CPT Code(s): 42826

Quick Facts

Procedure Type Surgical
Anesthesia General
Procedure Time 1-3 hours
CPT Code 42826

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Frequently Asked Questions

How much does Tonsillectomy cost without insurance?

Without insurance, Tonsillectomy typically costs between $3,000 and $8,000, depending on the provider, location, and complexity of the case. Many providers offer payment plans or financing options.

Is Tonsillectomy covered by insurance?

Yes, Tonsillectomy is typically covered by insurance when deemed medically necessary for obstructive sleep apnea. Most patients need to have tried CPAP therapy first. Check with your insurance provider for specific coverage details.

What is the success rate of Tonsillectomy?

Tonsillectomy has a success rate of 75-82% in reducing sleep apnea severity. The procedure can reduce AHI (apnea-hypopnea index) by 50-75% on average.

How long is recovery after Tonsillectomy?

Full recovery from Tonsillectomy typically takes 1-2 weeks. Most patients can return to work in 1-2 weeks. Hospital stay is usually outpatient or 1 day.