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Minnesota rates for HCPCS 42836

Adenoidectomy, secondary; age 12 or over

Facilitymedian $955 · 10th–90th $269–$9,7720%5%10th90th$955Professionalmedian $513 · 10th–90th $240–$9120%5%10%10th90th$513$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
$234.42 / $234.42 / $6,456.54
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $257.04 / $524.81
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$562.34 / $6,165.95 / $14,791.08
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $645.65 / $912.01
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$630.96 / $912.01 / $2,187.76
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $691.83 / $1,071.52
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$707.95 / $870.96 / $1,737.80
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$426.58 / $616.60 / $977.24
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$234.42 / $389.05 / $1,862.09
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $467.74 / $1,862.09
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,290.87 / $5,011.87 / $8,912.51
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $436.52 / $831.76