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Illinois rates for HCPCS 52000

Cystourethroscopy (separate procedure)

Facilitymedian $1,514 · 10th–90th $155$8,5110%5%10th90th$1,514Professionalmedian $234 · 10th–90th $79$6170%5%10th90th$234$20.0$100.0$500.0$2.0K$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
Facility
Modifier
Typical Low / Median / Typical High
$154.88 / $1,659.59 / $8,511.38
Aetna
Facility/Professional
Facility
Modifier
52
Typical Low / Median / Typical High
$154.88 / $154.88 / $512.86
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $234.42 / $630.96
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$147.91 / $147.91 / $363.08
Aetna
Facility/Professional
Professional
Modifier
53
Typical Low / Median / Typical High
$21.38 / $70.79 / $138.04
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $218.78 / $295.12
Ambetter
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$54.95 / $54.95 / $54.95
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$489.78 / $1,000.00 / $1,905.46
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$97.72 / $213.80 / $478.63
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$93.33 / $218.78 / $389.05
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$117.49 / $309.03 / $870.96
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$93.33 / $100.00 / $288.40
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $33.11
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$588.84 / $1,412.54 / $3,548.13
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$93.33 / $213.80 / $380.19