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Massachusetts rates for HCPCS 50130

Pyelotomy; with removal of calculus (pyelolithotomy, pelviolithotomy, including coagulum pyelolithotomy)

Facilitymedian $2,818 · 10th–90th $891$5,6230%10%10th90th$2,818Professionalmedian $1,230 · 10th–90th $955$2,7540%10%20%10th90th$1,230$100.0$500.0$2.0K$10.0K$50.0K

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
$1,071.52 / $3,388.44 / $5,623.41
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$933.25 / $1,096.48 / $2,884.03
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $2,511.89 / $6,309.57
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$794.33 / $1,513.56 / $7,585.78
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$616.60 / $1,584.89 / $3,630.78
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$549.54 / $1,148.15 / $3,311.31
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$549.54 / $1,000.00 / $1,513.56
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,023.29 / $3,388.44 / $5,888.44
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$954.99 / $1,659.59 / $2,454.71
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $2,511.89 / $6,309.57
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$794.33 / $1,513.56 / $7,585.78
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$954.99 / $2,884.03 / $4,265.80
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,071.52 / $1,548.82 / $2,884.03