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Nonstandard Size or Length

Minnesota rates for HCPCS L3255

Nonstandard size or length

Rates data updated July 2026.

How much does Nonstandard Size or Length cost?

$15.85

Typical negotiated rate. In Minnesota, July 2026.

Insurers have agreed to pay about $15.85 for this service. The price depends on where it is billed: about $15.85 from a physician practice, and about $15.85 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$15.85$15.85 to $15.85
FacilityA hospital or hospital-owned outpatient department$15.85$15.85 to $23.99

How much rates vary

Facilitymedian $16 · 10th to 90th $16 to $83Professionalmedian $16 · 10th to 90th $13 to $19
$20$50$100$200facility $16professional $16

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$19.50
Median
$19.50
Typical High
$19.50
Aetna
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$19.50
Typical High
$25.12
BCBS
Setting
Facility
Modifier
Global
Typical Low
$15.85
Median
$15.85
Typical High
$87.10
BCBS
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$15.85
Typical High
$15.85
Cigna
Setting
Facility
Modifier
Global
Typical Low
$23.99
Median
$23.99
Typical High
$64.57
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$17.38
Typical High
$23.99
Medica
Setting
Facility
Modifier
Global
Typical Low
$19.50
Median
$19.50
Typical High
$89.13
Medica
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$51.29
Typical High
$51.29
United
Setting
Facility
Modifier
Global
Typical Low
$19.95
Median
$19.95
Typical High
$19.95
United
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$51.29
Typical High
$51.29

Where Minnesota sits

The same service costs 10.2 times more in California than in Minnesota. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Minnesota· 51st of 51

$15.85

CA $162MN $15.85

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.