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Michigan rates for HCPCS 52265

Cystourethroscopy, with dilation of bladder for interstitial cystitis; local anesthesia

Facilitymedian $2,884 · 10th–90th $468–$4,8980%20%10th90th$2,884Professionalmedian $339 · 10th–90th $158–$5370%10%10th90th$339$50.0$200.0$1.0K$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
$467.74 / $2,884.03 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $338.84 / $537.03
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $323.59 / $323.59
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$40.74 / $40.74 / $40.74
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $239.88 / $562.34
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $338.84 / $501.19
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$467.74 / $2,884.03 / $4,897.79
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $416.87 / $602.56
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $257.04 / $489.78
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,584.89 / $2,511.89 / $5,495.41
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $354.81 / $630.96