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Wisconsin rates for HCPCS C9761

Cystourethroscopy, with ureteroscopy and/or pyeloscopy, with lithotripsy, and ureteral catheterization for steerable vacuum aspiration of the kidney, collecting system, ureter, bladder, and urethra if applicable (must use a steerable ureteral catheter)

Facilitymedian $10,233 · 10th–90th $6,026–$16,9820%10%10th90th$10,233Professionalmedian $7,762 · 10th–90th $7,762–$9,7720%50%90th$7,762$100.0$500.0$2.0K$10.0K

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
$6,025.60 / $6,025.60 / $17,782.79
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7,762.47 / $7,762.47 / $9,772.37
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,606.93 / $10,964.78 / $17,378.01
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,309.57 / $6,309.57 / $6,309.57
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,570.88 / $7,079.46 / $10,000.00
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $58.88 / $85.11
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,248.07 / $5,754.40 / $7,762.47
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,370.32 / $7,585.78 / $9,120.11