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Wisconsin 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 $8,710 · 10th–90th $891$16,9820%5%10%10th90th$8,710Professionalmedian $550 · 10th–90th $355$1,6220%10%10th90th$550$50.0$200.0$1.0K$5.0K$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
$354.81 / $707.95 / $1,905.46
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $436.52 / $891.25
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,165.95 / $10,232.93 / $17,378.01
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$426.58 / $812.83 / $1,995.26
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,122.02 / $1,318.26 / $2,089.30
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$457.09 / $977.24 / $1,380.38
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$354.81 / $870.96 / $3,801.89
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$741.31 / $954.99 / $1,288.25
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$380.19 / $3,162.28 / $8,709.64
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$446.68 / $851.14 / $2,630.27
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $575.44
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$691.83 / $5,754.40 / $7,762.47
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$588.84 / $1,122.02 / $1,584.89
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$501.19 / $1,023.29 / $1,548.82
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,772.37 / $14,454.40 / $14,454.40
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478.63 / $1,288.25 / $6,025.60
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,778.28 / $1,778.28 / $2,187.76
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,949.84 / $2,290.87 / $2,951.21
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,897.79 / $7,585.78 / $9,772.37
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$416.87 / $676.08 / $1,737.80