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Ureter Endoscopy With Biopsy Through Stoma

Arizona 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 $2,818 · 10th–90th $550$5,6230%10%10th90th$2,818Professionalmedian $437 · 10th–90th $339$1,1750%20%10th90th$437$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$3,090.30
Typical High
$6,606.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$436.52
Typical High
$1,862.09
BCBS
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$1,778.28
Typical High
$3,467.37
BCBS
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$371.54
Typical High
$1,819.70
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4,677.35
Median
$4,677.35
Typical High
$4,677.35
Cigna
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$501.19
Typical High
$831.76
Medica
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$524.81
Typical High
$3,801.89
Medica
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$549.54
Typical High
$6,165.95
United
Setting
Facility
Modifier
Global
Typical Low
$2,187.76
Median
$3,630.78
Typical High
$5,623.41
United
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$446.68
Typical High
$758.58