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Washington 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 $977 · 10th–90th $562–$17,7830%10%20%10th90th$977Professionalmedian $589 · 10th–90th $363–$1,0960%10%20%10th90th$589$20.0$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
$645.65 / $1,122.02 / $17,782.79
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $467.74 / $1,096.48
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,772.37 / $13,803.84 / $28,183.83
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524.81 / $741.31 / $1,096.48
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,548.13 / $3,548.13 / $6,025.60
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$489.78 / $794.33 / $1,174.90
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$512.86 / $851.14 / $6,456.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$512.86 / $831.76 / $1,318.26
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $154.88
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$707.95 / $831.76 / $870.96
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$575.44 / $575.44 / $588.84
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478.63 / $724.44 / $1,071.52
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,549.93 / $14,454.40 / $28,183.83
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524.81 / $741.31 / $1,023.29
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,691.53 / $16,595.87 / $30,902.95
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$446.68 / $630.96 / $1,122.02
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $501.19 / $645.65