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Hawaii rates for HCPCS 52330

Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus

Facilitymedian $3,890 · 10th–90th $1,514–$3,8900%50%10th$3,890Professionalmedian $646 · 10th–90th $275–$4,5710%5%10%10th90th$646$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
$1,513.56 / $3,890.45 / $3,890.45
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $602.56 / $758.58
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $501.19 / $776.25
HMSA
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$426.58 / $575.44 / $9,120.11
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $630.96 / $794.33
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,995.26 / $1,995.26 / $1,995.26
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $616.60 / $1,698.24
University Health Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $2,041.74 / $5,370.32