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Hawaii rates for HCPCS 52204

Cystourethroscopy, with biopsy(s)

Facilitymedian $3,890 · 10th–90th $1,514–$7,4130%20%40%10th90th$3,890Professionalmedian $427 · 10th–90th $148–$4,4670%10%10th90th$427$50.0$200.0$1.0K$5.0K

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
$1,513.56 / $3,890.45 / $7,413.10
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $371.54 / $537.03
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $380.19 / $489.78
HMSA
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $309.03 / $7,079.46
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $389.05 / $478.63
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,995.26 / $1,995.26 / $1,995.26
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $380.19 / $676.08
University Health Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $2,041.74 / $5,370.32