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Minnesota rates for HCPCS 52301

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

Facilitymedian $1,950 · 10th–90th $513–$12,3030%5%10th90th$1,950Professionalmedian $603 · 10th–90th $295–$1,0470%5%10th90th$603$50.0$200.0$1.0K$5.0K$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
$269.15 / $269.15 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $316.23 / $512.86
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$691.83 / $6,456.54 / $15,848.93
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$457.09 / $676.08 / $1,047.13
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$724.44 / $1,023.29 / $2,454.71
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$549.54 / $870.96 / $1,318.26
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$794.33 / $977.24 / $1,949.84
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$489.78 / $741.31 / $1,122.02
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$380.19 / $575.44 / $8,317.64
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $588.84 / $1,258.93
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,019.95 / $5,248.07 / $9,120.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $602.56 / $1,148.15