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Massachusetts rates for HCPCS 52356

Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy including insertion of indwelling ureteral stent (eg, Gibbons or double-J type)

Facilitymedian $4,365 · 10th–90th $1,445–$9,3330%10%10th90th$4,365Professionalmedian $676 · 10th–90th $398–$1,6980%10%10th90th$676$100.0$500.0$2.0K$10.0K$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
$1,698.24 / $4,365.16 / $9,332.54
Aetna
Facility/Professional
Facility
Modifier
22
Typical Low / Median / Typical High
$1,258.93 / $1,258.93 / $2,630.27
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$2,570.40 / $4,570.88 / $8,912.51
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$407.38 / $676.08 / $1,737.80
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $3,890.45 / $12,589.25
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $588.84 / $1,479.11
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$467.74 / $794.33 / $1,071.52
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$426.58 / $630.96 / $1,445.44
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$218.78 / $457.09 / $3,311.31
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $389.05 / $588.84
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,019.95 / $6,165.95 / $13,182.57
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $691.83 / $1,148.15
Health New England
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,311.31 / $5,248.07 / $13,803.84
Health New England
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$691.83 / $724.44 / $870.96
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $3,890.45 / $12,589.25
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $588.84 / $1,479.11
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,511.89 / $5,888.44 / $13,803.84
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$436.52 / $691.83 / $1,737.80