go back

Minnesota rates for HCPCS 42820

Tonsillectomy and adenoidectomy; younger than age 12

Facilitymedian $4,467 · 10th–90th $575–$11,7490%5%10%10th90th$4,467Professionalmedian $603 · 10th–90th $288–$1,0960%5%10%10th90th$603$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,454.71 / $5,011.87 / $6,918.31
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $426.58 / $1,258.93
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,570.88 / $11,220.18 / $26,915.35
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$467.74 / $758.58 / $1,071.52
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$741.31 / $1,071.52 / $2,570.40
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$467.74 / $812.83 / $1,258.93
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$831.76 / $1,023.29 / $2,041.74
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$501.19 / $724.44 / $1,174.90
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$309.03 / $891.25 / $5,623.41
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $549.54 / $2,630.27
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,290.87 / $5,011.87 / $15,135.61
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $512.86 / $1,000.00