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Washington rates for HCPCS 50555

Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy

Facilitymedian $933 · 10th–90th $537–$20,4170%10%10th90th$933$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
$630.96 / $1,071.52 / $17,782.79
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,772.37 / $24,547.09 / $50,118.72
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,760.83 / $6,760.83 / $11,220.18
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$489.78 / $831.76 / $10,964.78
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$575.44 / $794.33 / $831.76
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$549.54 / $549.54 / $562.34
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,982.44 / $25,703.96 / $50,118.72
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,698.24 / $29,512.09 / $53,703.18