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Washington rates for HCPCS 50953

Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or without dilation of ureter

Facilitymedian $912 · 10th–90th $525–$13,1830%10%10th90th$912$500.0$1.0K$2.0K$5.0K$10.0K$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
$602.56 / $1,047.13 / $17,782.79
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,606.93 / $9,332.54 / $19,054.61
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,344.23 / $2,344.23 / $3,890.45
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$467.74 / $794.33 / $3,801.89
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$588.84 / $776.25 / $794.33
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$537.03 / $537.03 / $549.54
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,456.54 / $9,549.93 / $19,054.61
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,698.24 / $10,964.78 / $19,952.62