go back

Washington, DC rates for HCPCS 52301

Cystourethroscopy; with resection or fulguration of ectopic ureterocele(s), unilateral or bilateral

Facilitymedian $4,074 · 10th–90th $1,413–$7,7620%10%20%10th90th$4,074Professionalmedian $347 · 10th–90th $295–$9330%20%40%10th90th$347$500.0$1.0K$2.0K$5.0K$10.0K$20.0K

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
$302.00 / $4,073.80 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $346.74 / $851.14
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $3,235.94 / $7,079.46
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $380.19 / $812.83
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $275.42 / $645.65
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,344.23 / $10,000.00 / $25,118.86
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $416.87 / $741.31