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Alaska rates for HCPCS 52204

Cystourethroscopy, with biopsy(s)

Facilitymedian $933 · 10th–90th $170–$6,4570%20%10th90th$933Professionalmedian $380 · 10th–90th $135–$1,5140%10%10th90th$380$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
$3,715.35 / $6,456.54 / $9,772.37
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $363.08 / $891.25
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $316.23 / $676.08
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$165.96 / $562.34 / $3,715.35
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $891.25 / $2,344.23
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562.34 / $1,513.56 / $2,041.74
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$165.96 / $446.68 / $1,621.81
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $309.03 / $831.76
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,265.80 / $4,265.80 / $4,265.80
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $616.60 / $1,513.56