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Texas 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 $5,370 · 10th–90th $1,380–$14,1250%5%10%10th90th$5,370Professionalmedian $501 · 10th–90th $372–$1,1480%20%10th90th$501$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
$1,621.81 / $5,128.61 / $13,803.84
Aetna
Facility/Professional
Facility
Modifier
22
Typical Low / Median / Typical High
$1,698.24 / $1,698.24 / $1,698.24
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$3,548.13 / $10,000.00 / $15,135.61
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$389.05 / $512.86 / $1,479.11
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $416.87 / $549.54
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,715.35 / $6,606.93 / $12,882.50
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $389.05 / $616.60
Baylor Scott & White
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,073.80 / $5,754.40 / $10,964.78
Baylor Scott & White
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $512.86 / $660.69
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$363.08 / $4,897.79 / $4,897.79
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,630.78 / $3,630.78 / $3,630.78
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$416.87 / $549.54 / $870.96
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $56.23 / $15,488.17
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,019.95 / $3,388.44 / $3,388.44
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$436.52 / $3,548.13 / $12,589.25
Moda Health
Facility/Professional
Facility
Modifier
22
Typical Low / Median / Typical High
$1,698.24 / $1,698.24 / $1,698.24
Moda Health
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$4,168.69 / $10,000.00 / $15,848.93
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $562.34 / $1,000.00
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $33.11
Oscar Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,754.40 / $9,549.93 / $9,549.93
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $457.09 / $1,023.29
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$363.08 / $501.19 / $912.01
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$416.87 / $549.54 / $870.96
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,238.72 / $6,165.95 / $11,481.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $478.63 / $741.31
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$380.19 / $380.19 / $380.19