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Ureter Endoscopy With Biopsy Through Stoma

Alaska rates for HCPCS 50955

An exam in which a scope is passed through an existing surgical opening (stoma) to view the ureter, the tube between kidney and bladder, and take a tissue sample. Flushing the ureter and injecting contrast dye may be part of the exam; any radiology service is charged separately.

Rates data updated July 2026.

Facilitymedian $813 · 10th–90th $407$4,6770%5%10%10th90th$813Professionalmedian $1,413 · 10th–90th $407$2,4550%10%10th90th$1,413$100.0$200.0$500.0$1.0K$2.0K$5.0K$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. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$2,511.89
Typical High
$14,125.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$891.25
Typical High
$1,949.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$602.56
Typical High
$1,230.27
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$630.96
Typical High
$2,344.23
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$1,318.26
Typical High
$2,951.21
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,412.54
Median
$1,737.80
Typical High
$2,344.23
Providence
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$630.96
Typical High
$2,344.23
Providence
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$776.25
Typical High
$1,023.29
United
Setting
Facility
Modifier
Global
Typical Low
$10,964.78
Median
$10,964.78
Typical High
$10,964.78
United
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$977.24
Typical High
$2,454.71