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Widening of a Narrowed Urethra Using a Scope

Montana rates for HCPCS 52281

This procedure uses a scope passed through the urethra to measure and gently widen a section of the urethra that has become narrowed by scar tissue, sometimes along with a small incision at the urinary opening to enlarge it. It is used to relieve difficulty urinating caused by this kind of narrowing.

Facilitymedian $468 · 10th–90th $257$6310%20%10th90th$468Professionalmedian $339 · 10th–90th $158$8130%20%10th90th$339$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
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$512.86
Typical High
$512.86
Aetna
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$338.84
Typical High
$812.83
BCBS
Setting
Facility
Modifier
Global
Typical Low
$46,773.51
Median
$75,857.76
Typical High
$95,499.26
BCBS
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$234.42
Typical High
$512.86
Cigna
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$234.42
Typical High
$234.42
Cigna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$257.04
Typical High
$467.74
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$457.09
Typical High
$602.56
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$457.09
Typical High
$602.56
Providence
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$295.12
Typical High
$575.44
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$257.04
Typical High
$588.84
United
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$4,265.80
United
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$407.38
Typical High
$645.65