Self-funding and insured patients

Fees

Consultation fees, package prices for surgery, and Manchester Voice Clinic fees. Every surgical quote is confirmed in writing before a booking is made.

Last updated August 2026. Hospitals revise their fees regularly, so please take this as a guide.

If you’re insured

I’m fee-assured with all major UK insurers except AXA, which means there won’t be any shortfall to pay. You do not need to read the rest of this page. Check your cover and get in touch.

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If you’re self-funding

Everything below applies to you. Consultation fees are fixed; surgical package prices are estimates based on the most you’re likely to pay for a routine operation.

Jump to package prices

£280
First consultation
face-to-face or virtual
£180
Follow-up consultation
same for virtual
£86–£150*
Nasal endoscopy
hospital charge, varies by site
£280
Tongue tie release
£230 consultant, £50 hospital

The nasal endoscopy charge is the hospital’s rather than mine, and differs by site: £86 at The Alexandra, £150 at Spire Manchester. Which one applies depends on where you are seen, and it is confirmed with your quote before anything is booked.

Consultation fees don’t include scans, blood tests or further investigations.

Offered for babies under the age of 6 months at Spire Manchester and The Alexandra Hospital. During the consultation we will discuss the relative pros and cons of the procedure in the presence of a senior paediatric specialist nurse. If it is felt that the procedure is not required, the hospital's policy is that it does not offer a refund. Dividing the tie is a fine balance between too little, so not receiving benefit, and too much, causing bleeding. If we err on the side of caution too much, we will repeat the procedure free of charge.

Manchester Voice Clinic

Manchester Voice Clinic fees

A joint assessment at The Alexandra with senior speech and language therapists who work with professional voice users daily. We work with Help for Musicians and receive referrals from surgeons, therapists and performing arts institutions.

The first assessment is where the diagnosis is made, so we do it together. You receive a comprehensive report and a video of the stroboscopy.

First joint assessment
Surgeon + therapist + endoscopy + stroboscopy + room
£636
Repeat joint assessment
At any point in the future
£536
Therapy / coaching session
Per session
£100

Surgical packages

What a package price covers

Included

  • Pre-operative assessment and investigations
  • Surgeon fee
  • Anaesthetist fee
  • Hospital fee
  • Medications during the stay and at discharge
  • One follow-up appointment

Not included

  • The initial consultation
  • Investigations and blood tests needed to reach a diagnosis
  • Longer-term post-operative follow-up

Prices rise if the operation is complex or if several are done under one package. Surgeon and anaesthetist fees are the same at both sites; the hospital fee differs. Every quote is confirmed in writing before booking.

Package prices

Tonsillectomy, aged over 18
F3440
£4,430
Tonsillectomy, traditional and intracapsular, aged under 18
F3400
£4,530
Adenoidectomy and tonsillectomy
F3480
£4,780
Grommets
D1510
£3,765 adult · £3,465 child
Grommets and adenoidectomy
D1510, E2010
£4,680
Standard endoscopic sinus surgery
E1432
£7,670
Septoplasty and turbinate surgery
E0360
£5,200
Clarifix
E1435
£3,390 awake · £3,940 asleep
Pinnaplasty, aged under 18
D0330
£6,925
Voice surgery
E3520
£4,270
Hemithyroidectomy
B0830
£8,580
Total thyroidectomy
B0812
£10,280
Ear drum repair
D1420
£6,330
Parotid gland surgery
F4500
£8,840
Submandibular gland removal
F4440
£7,555
Salivary intra-oral stone release
F5110
£4,745
Thyroglossal duct excision
B1012
£5,840
Skin / subcutaneous lesion under local anaesthetic
S0632
£1,840
Botox to cricopharyngeus for R-CPD
E3810
£4,280

19 procedures

Above are the most common procedures performed. For any other procedure, please contact the practice directly for costings.

Ear reshaping for children and young people has its own page.

Pinnaplasty involves consultation, consent and safeguarding steps that don’t apply to other procedures, so it’s set out in full separately. Read the pinnaplasty guide.

Ask for a written quote

The practice team is an email or call away. If the pricing structure doesn’t make sense, or you’d like a personalised quote in black and white, please let us know.

0161 726 5100Email the practice
Call the practiceRequest appointment