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Ureter Endoscopy With Biopsy Through Stoma

California 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 $4,467 · 10th–90th $1,585$13,4900%10%10th90th$4,467Professionalmedian $513 · 10th–90th $347$1,9500%10%10th90th$513$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
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$5,623.41
Typical High
$16,982.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$457.09
Typical High
$2,454.71
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,570.40
Median
$4,466.84
Typical High
$12,882.50
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$630.96
Typical High
$1,288.25
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$3,630.78
Typical High
$7,585.78
Blue Shield
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$489.78
Typical High
$1,096.48
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,162.28
Median
$3,162.28
Typical High
$3,801.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$512.86
Typical High
$1,096.48
Contra Costa Health
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$407.38
Typical High
$660.69
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$478.63
Typical High
$812.83
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$15,488.17
Median
$19,498.45
Typical High
$19,498.45
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$3,981.07
Median
$3,981.07
Typical High
$6,309.57
Molina
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$363.08
Typical High
$616.60
Providence
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$575.44
Typical High
$1,000.00
Providence
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$512.86
Typical High
$1,000.00
Sutter Health Plus
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,148.15
Typical High
$1,412.54
The Alliance
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$457.09
Typical High
$630.96
United
Setting
Facility
Modifier
Global
Typical Low
$3,981.07
Median
$7,585.78
Typical High
$15,135.61
United
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$501.19
Typical High
$1,071.52