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Washington rates for HCPCS 52354

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

Facilitymedian $9,333 · 10th–90th $676–$21,8780%5%10th90th$9,333$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
$776.25 / $12,022.64 / $22,908.68
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$12,882.50 / $12,882.50 / $20,417.38
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,772.37 / $13,803.84 / $28,183.83
Asuris Northwest Health
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$14,454.40 / $20,892.96 / $41,686.94
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,548.13 / $3,548.13 / $6,025.60
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$562.34 / $954.99 / $13,182.57
Kaiser Permanente
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$6,606.93 / $17,378.01 / $37,153.52
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$512.86 / $794.33 / $812.83
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$549.54 / $549.54 / $562.34
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,549.93 / $14,454.40 / $28,183.83
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$14,125.38 / $21,379.62 / $41,686.94
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,691.53 / $16,595.87 / $30,902.95