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Montana rates for HCPCS 52204

Cystourethroscopy, with biopsy(s)

Facilitymedian $617 · 10th–90th $240–$1,0230%20%10th90th$617Professionalmedian $398 · 10th–90th $148–$7410%10%10th90th$398$100.0$500.0$2.0K$10.0K$50.0K

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
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $398.11 / $851.14
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$46,773.51 / $75,857.76 / $95,499.26
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $218.78 / $588.84
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$218.78 / $218.78 / $218.78
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $239.88 / $676.08
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$239.88 / $616.60 / $691.83
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $616.60 / $691.83
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$125.89 / $338.84 / $794.33
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $239.88 / $691.83
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$446.68 / $446.68 / $4,265.80
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $549.54 / $776.25