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South Dakota rates for HCPCS 52005

Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service;

Facilitymedian $1,413 · 10th–90th $174–$6,9180%20%10th90th$1,413Professionalmedian $316 · 10th–90th $135–$6920%10%10th90th$316$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
Facility
Modifier
Typical Low / Median / Typical High
$131.83 / $1,412.54 / $6,918.31
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $302.00 / $691.83
Avera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$263.03 / $263.03 / $263.03
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $380.19 / $851.14
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$173.78 / $380.19 / $724.44
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $537.03 / $3,467.37
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $309.03 / $645.65
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $275.42 / $537.03
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $398.11 / $549.54
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,691.53 / $2,691.53 / $4,265.80
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $354.81 / $758.58
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $309.03 / $660.69