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Ureter Endoscopy With Biopsy Through Stoma

Hawaii 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 $2,884 · 10th–90th $871$2,8840%50%10th$2,884Professionalmedian $1,148 · 10th–90th $363$3,7150%5%10th90th$1,148$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0K

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
$870.96
Median
$2,884.03
Typical High
$2,884.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$416.87
Typical High
$457.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$446.68
Typical High
$537.03
HMSA
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$724.44
Typical High
$794.33
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$501.19
Typical High
$645.65
United
Setting
Facility
Modifier
Global
Typical Low
$2,041.74
Median
$2,041.74
Typical High
$2,041.74
United
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$512.86
Typical High
$630.96
University Health Alliance
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$1,513.56
Typical High
$3,981.07