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South Dakota rates for HCPCS 52250

Cystourethroscopy with insertion of radioactive substance, with or without biopsy or fulguration

Facilitymedian $331 · 10th–90th $224–$4,3650%20%40%10th90th$331Professionalmedian $302 · 10th–90th $224–$6310%20%10th90th$302$200.0$500.0$1.0K$2.0K$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
$223.87 / $223.87 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $239.88 / $302.00
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$512.86 / $537.03 / $676.08
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$288.40 / $416.87 / $645.65
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $426.58 / $1,778.28
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$501.19 / $512.86 / $562.34
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$501.19 / $501.19 / $501.19
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $407.38 / $457.09
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,691.53 / $2,691.53 / $7,244.36
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $467.74 / $660.69
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$457.09 / $537.03 / $562.34