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Pennsylvania rates for HCPCS 52354

Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with biopsy and/or fulguration of ureteral or renal pelvic lesion

Facilitymedian $5,370 · 10th–90th $1,023–$9,5500%5%10%10th90th$5,370$500.0$1.0K$2.0K$5.0K$10.0K$20.0K$50.0K

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
$977.24 / $5,370.32 / $9,549.93
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$2,344.23 / $8,912.51 / $8,912.51
AmeriHealth
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,715.35 / $5,011.87 / $23,988.33
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,456.54 / $6,606.93 / $57,543.99
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,548.13 / $13,182.57 / $22,908.68
Highmark BCBS
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$42,657.95 / $42,657.95 / $42,657.95
Independence Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,311.31 / $4,677.35 / $10,964.78
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$660.69 / $3,801.89 / $8,511.38
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$309.03 / $467.74 / $891.25
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,659.59 / $3,981.07 / $17,378.01