A tonsillectomy is a surgical procedure that removes the tonsils. Doctors often recommend it for people who experience frequent bouts of tonsillitis or have sleep apnea. So, if your doctor recommends a tonsillectomy, how much does it cost? This article breaks down the typical costs and factors that can influence them.
Understanding the Cost of a Tonsillectomy
If you’re wondering what a tonsillectomy costs these days, here’s a quick rundown of the costs involved.
Average cost and influencing factors
According to Blue Cross Blue Shield of North Carolina, the average cost of a tonsillectomy is $5,442. But that number can vary widely depending on factors like:
- Where you live
- Whether you have the procedure done in a hospital or an outpatient clinic
- Anesthesia fees
- Surgeon’s fees
Insurance coverage
Most health insurance plans will cover a tonsillectomy if it’s considered medically necessary. However, your out-of-pocket expenses will vary depending on your deductible, co-pays, and co-insurance responsibilities.
What might lead to a tonsillectomy?
Tonsillectomies are performed less often than they used to be, but there are still a few conditions that might make your doctor suggest having your tonsils removed.
When a tonsillectomy might be recommended
- Recurrent tonsillitis. Frequent or severe throat infections may be a reason to have your tonsils removed.
- Obstructive sleep apnea. If your tonsils are so large that they’re making it hard to breathe, especially while you’re sleeping, your doctor may recommend a tonsillectomy.
Alternatives to tonsillectomy
Depending on the condition of your tonsils, your doctor may suggest:
- Medical management. Antibiotics can resolve bacterial infections of the tonsils.
- Watchful waiting. In some cases, the best course of action is to simply monitor the condition to see if it resolves on its own.
What to Expect Before, During, and After Tonsillectomy
Preparing for surgery
Prior to your tonsillectomy, your doctor will give you specific instructions. These may include avoiding aspirin and aspirin-containing products, as well as arranging for a ride home and possibly someone to stay with you overnight.
The surgical procedure
Tonsillectomies are performed under general anesthesia and usually take less than an hour.
Recovery and post-operative care
Children usually recover within 5 to 7 days, while adults may take up to two weeks to fully recover. After the surgery, you’ll want to drink plenty of non-acidic fluids and eat soft foods. Avoid hot, spicy, or coarse foods that could irritate your throat.
To Conclude
The total cost of a tonsillectomy can vary a lot, depending on where you live, the type of insurance you have, and other factors.
Before you consider surgery, talk with your doctor about whether a tonsillectomy is right for you. Your healthcare provider can discuss the potential risks, alternative treatments, and whether the benefits of a tonsillectomy outweigh the possible complications.