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Pennsylvania rates for HCPCS 52265

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

Facilitymedian $3,631 · 10th–90th $427–$8,3180%5%10%10th90th$3,631Professionalmedian $347 · 10th–90th $151–$7410%10%20%10th90th$347$5.0$20.0$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
Facility
Modifier
Typical Low / Median / Typical High
$426.58 / $3,715.35 / $8,317.64
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $346.74 / $794.33
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,630.27 / $2,691.53 / $57,543.99
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $245.47 / $245.47
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $354.81 / $691.83
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $257.04 / $588.84
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $467.74 / $741.31
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,174.90 / $1,174.90 / $5,248.07
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$446.68 / $2,454.71 / $8,317.64
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $338.84 / $575.44
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $562.34 / $776.25
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$61.66 / $380.19 / $588.84
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$102.33 / $380.19 / $416.87
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$549.54 / $2,951.21 / $6,760.83
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $309.03 / $645.65