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Ohio rates for HCPCS 52204

Cystourethroscopy, with biopsy(s)

Facilitymedian $3,467 · 10th–90th $363$8,9130%10%10th90th$3,467Professionalmedian $302 · 10th–90th $135$7760%10%10th90th$302$2.0$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
$269.15 / $3,467.37 / $9,120.11
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $302.00 / $724.44
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$117.49 / $117.49 / $467.74
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,000.00 / $3,019.95 / $7,943.28
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $363.08 / $870.96
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$131.83 / $141.25 / $158.49
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$117.49 / $181.97 / $21,379.62
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $302.00 / $630.96
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$724.44 / $3,090.30 / $21,379.62
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $316.23 / $645.65
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $100.00
SummaCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $2,570.40
SummaCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $346.74 / $630.96
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,584.89 / $4,265.80 / $7,244.36
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $302.00 / $630.96