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Michigan rates for HCPCS 52330

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

Facilitymedian $2,884 · 10th–90th $347–$4,8980%10%10th90th$2,884Professionalmedian $575 · 10th–90th $257–$8910%10%10th90th$575$100.0$200.0$500.0$1.0K$2.0K$5.0K$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
$338.84 / $2,884.03 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $562.34 / $851.14
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $229.09 / $229.09
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$588.84 / $588.84 / $588.84
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $588.84 / $912.01
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $426.58 / $812.83
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$346.74 / $1,778.28 / $4,897.79
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $645.65 / $1,071.52
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $416.87 / $812.83
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,818.38 / $4,897.79 / $9,332.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $537.03 / $1,096.48