go back

Minnesota rates for HCPCS 99235

Hospital inpatient or observation care, for the evaluation and management of a patient including admission and discharge on the same date, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 70 minutes must be met or exceeded.

Facilitymedian $457 · 10th–90th $123–$1,2590%10%10th90th$457$100.0$200.0$500.0$1.0K$2.0K

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
$109.65 / $123.03 / $144.54
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$281.84 / $524.81 / $2,137.96
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$407.38 / $575.44 / $1,380.38
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$446.68 / $549.54 / $1,071.52
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$158.49 / $251.19 / $380.19