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Missouri rates for HCPCS 52204

Cystourethroscopy, with biopsy(s)

Facilitymedian $1,778 · 10th–90th $427–$5,6230%5%10%10th90th$1,778Professionalmedian $331 · 10th–90th $132–$7760%5%10%10th90th$331$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
$239.88 / $2,290.87 / $5,623.41
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $331.13 / $776.25
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$758.58 / $1,479.11 / $3,235.94
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $309.03 / $616.60
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $346.74 / $512.86
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $295.12 / $707.95
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$169.82 / $645.65 / $16,218.10
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $741.31 / $3,467.37
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,659.59 / $2,398.83 / $4,073.80
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $363.08 / $691.83