go back

Idaho rates for HCPCS 52301

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

Facilitymedian $4,467 · 10th–90th $468–$9,1200%10%10th90th$4,467Professionalmedian $372 · 10th–90th $269–$6460%20%10th90th$372$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
$2,884.03 / $4,466.84 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $363.08 / $645.65
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,819.70 / $4,168.69 / $9,120.11
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478.63 / $562.34 / $575.44
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $416.87 / $549.54
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$309.03 / $478.63 / $1,905.46
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $446.68 / $575.44
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $33.11
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,025.60 / $7,762.47 / $11,220.18
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$389.05 / $457.09 / $489.78
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $501.19 / $8,317.64
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,495.41 / $12,302.69 / $12,302.69
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $398.11 / $588.84