Cystourethroscopy with insertion of ureteral guide wire through kidney to establish a percutaneous nephrostomy, retrograde
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
Facility/Professional
Modifier
Typical Low
Median
Typical High
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$776.25 / $4,365.16 / $10,964.78
Facility
$776.25
$4,365.16
$10,964.78
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,818.38 / $7,079.46 / $15,135.61
Facility
$2,818.38
$7,079.46
$15,135.61
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$309.03 / $645.65 / $11,481.54
Facility
$309.03
$645.65
$11,481.54
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,737.80 / $4,168.69 / $9,772.37
Facility
$1,737.80
$4,168.69
$9,772.37
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