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Nebraska rates for HCPCS 52301

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

Facilitymedian $6,457 · 10th–90th $708–$12,5890%10%20%10th90th$6,457Professionalmedian $398 · 10th–90th $263–$1,5140%20%40%10th90th$398$5.0$20.0$100.0$500.0$2.0K$10.0K

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
$4,265.80 / $7,585.78 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $302.00 / $1,513.56
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,890.45 / $5,128.61 / $10,000.00
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $436.52 / $630.96
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $660.69 / $870.96
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$338.84 / $645.65 / $7,943.28
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $602.56 / $2,137.96
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$630.96 / $676.08 / $870.96
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$630.96 / $630.96 / $630.96
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $537.03 / $707.95
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,630.78 / $5,370.32 / $6,760.83
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $537.03 / $724.44