go back

Montana rates for HCPCS 50976

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

Facilitymedian $794 · 10th–90th $776–$9770%50%10th90th$794Professionalmedian $661 · 10th–90th $468–$1,5490%10%20%10th90th$661$100.0$200.0$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$467.74 / $602.56 / $1,548.82
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$724.44 / $724.44 / $724.44
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$549.54 / $724.44 / $776.25
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$776.25 / $794.33 / $977.24
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$776.25 / $794.33 / $977.24
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$407.38 / $691.83 / $912.01
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $549.54 / $1,023.29
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$537.03 / $537.03 / $10,964.78
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$630.96 / $794.33 / $1,258.93