Surgical removal and repositioning of excess tissue in the throat including the uvula, soft palate, and tonsils to widen the airway.
Board-Certified Physician | UCI Gavin Herbert Eye Institute | Last Updated: January 2026
Uvulopalatopharyngoplasty (UPPP) is one of the most commonly performed surgeries for obstructive sleep apnea. The procedure removes and repositions excess tissue in the throat—including the uvula, soft palate, and often the tonsils—to widen the airway and reduce obstruction during sleep. UPPP has been performed since the 1980s and remains a primary surgical option for patients with palate-level obstruction who have failed or cannot tolerate CPAP therapy.
The cost of UPPP surgery ranges from $5,000 to $15,000, with an average cost of approximately $10,000. These costs can vary significantly based on:
Best for: Patients with palate-level obstruction who have failed CPAP therapy
UPPP 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): 42145
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Without insurance, UPPP typically costs between $5,000 and $15,000, depending on the provider, location, and complexity of the case. Many providers offer payment plans or financing options.
Yes, UPPP 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.
UPPP has a success rate of 40-60% in reducing sleep apnea severity. The procedure can reduce AHI (apnea-hypopnea index) by 30-50% on average.
Full recovery from UPPP typically takes 2-4 weeks. Most patients can return to work in 1-2 weeks. Hospital stay is usually 1 day or outpatient.