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Bladder Scope Exam With Tissue Sample

Texas rates for HCPCS 52204

A procedure in which a thin, lighted scope is passed through the urethra to examine the inside of the bladder and urethra, with one or more small tissue samples taken during the same visit for laboratory analysis. It is used to investigate abnormal findings such as blood in the urine or a suspicious area seen on prior imaging.

Facilitymedian $2,754 · 10th–90th $468$6,9180%5%10%10th90th$2,754Professionalmedian $331 · 10th–90th $135$6760%10%20%10th90th$331$5.0$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
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$2,818.38
Typical High
$6,918.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$346.74
Typical High
$676.08
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$123.03
Typical High
$257.04
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,698.24
Median
$2,884.03
Typical High
$5,754.40
BCBS
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$302.00
Typical High
$524.81
Baylor Scott & White
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$1,548.82
Typical High
$4,466.84
Christus
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$1,737.80
Typical High
$1,737.80
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,380.38
Median
$1,380.38
Typical High
$1,380.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$354.81
Typical High
$707.95
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$5,623.41
Median
$28,840.32
Typical High
$28,840.32
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$3,630.78
Median
$3,630.78
Typical High
$3,630.78
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$524.81
Typical High
$3,981.07
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$380.19
Typical High
$660.69
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$114.82
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$3.02
Median
$741.31
Typical High
$1,047.13
Providence
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$354.81
Typical High
$812.83
Providence
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$363.08
Typical High
$707.95
United
Setting
Facility
Modifier
Global
Typical Low
$1,445.44
Median
$3,311.31
Typical High
$7,244.36
United
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$288.40
Typical High
$645.65
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$354.81
Typical High
$354.81