go back

Massachusetts rates for HCPCS 51065

Cystotomy, with calculus basket extraction and/or ultrasonic or electrohydraulic fragmentation of ureteral calculus

Facilitymedian $3,388 · 10th–90th $603–$5,6230%10%10th90th$3,388Professionalmedian $708 · 10th–90th $550–$1,7380%10%10th90th$708$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
$1,949.84 / $3,630.78 / $5,623.41
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$512.86 / $616.60 / $1,621.81
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,348.96 / $5,370.32 / $33,884.42
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$446.68 / $851.14 / $9,772.37
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$436.52 / $891.25 / $2,041.74
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$331.13 / $660.69 / $3,311.31
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $575.44 / $870.96
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,041.74 / $4,265.80 / $9,772.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$549.54 / $977.24 / $1,659.59
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,348.96 / $5,370.32 / $33,884.42
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$446.68 / $851.14 / $9,772.37
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,862.09 / $3,981.07 / $9,772.37
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$602.56 / $912.01 / $2,454.71