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Pennsylvania 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 $8,710 · 10th–90th $3,548–$16,9820%10%10th90th$8,710Professionalmedian $550 · 10th–90th $389–$1,6980%10%20%10th90th$550$10.0$50.0$200.0$1.0K$5.0K$20.0K$100.0K

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
$3,467.37 / $8,709.64 / $16,595.87
Aetna
Facility/Professional
Facility
Modifier
22
Typical Low / Median / Typical High
$9,120.11 / $18,620.87 / $23,988.33
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$5,011.87 / $8,912.51 / $26,915.35
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$389.05 / $562.34 / $1,737.80
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $575.44 / $707.95
AmeriHealth
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,897.79 / $7,413.10 / $47,863.01
AmeriHealth
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $354.81 / $467.74
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,549.93 / $10,000.00 / $57,543.99
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$407.38 / $630.96 / $794.33
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $524.81 / $812.83
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$575.44 / $575.44 / $616.60
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,754.23 / $2,754.23 / $2,754.23
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $512.86 / $758.58
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,388.44 / $10,964.78 / $19,952.62
Highmark BCBS
Facility/Professional
Facility
Modifier
22
Typical Low / Median / Typical High
$13,182.57 / $13,182.57 / $13,182.57
Highmark BCBS
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$3,388.44 / $12,022.64 / $30,902.95
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$501.19 / $501.19 / $537.03
Independence Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,677.35 / $6,025.60 / $33,884.42
Independence Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $426.58 / $446.68
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$537.03 / $6,606.93 / $16,218.10
Martin's Point
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$9,120.11 / $10,000.00 / $26,915.35
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$380.19 / $489.78 / $1,000.00
Oscar Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,888.44 / $8,511.38 / $12,882.50
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$457.09 / $575.44 / $794.33
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$309.03 / $457.09 / $1,318.26
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$389.05 / $457.09 / $1,318.26
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,344.23 / $5,754.40 / $17,378.01
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $489.78 / $831.76