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Rhode Island rates for HCPCS 50957

Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with or without biopsy

Facilitymedian $3,890 · 10th–90th $1,514–$7,5860%10%10th90th$3,890Professionalmedian $490 · 10th–90th $363–$7760%10%10th90th$490$500.0$1.0K$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,513.56 / $1,548.82 / $3,981.07
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $489.78 / $776.25
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $407.38 / $707.95
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $512.86 / $812.83
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,570.40 / $4,570.88 / $8,912.51
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $537.03 / $812.83